Provider Demographics
NPI:1881296838
Name:HERRON, URIAH DWAYNE
Entity type:Individual
Prefix:
First Name:URIAH
Middle Name:DWAYNE
Last Name:HERRON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 E 244TH ST
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44123-1434
Mailing Address - Country:US
Mailing Address - Phone:216-355-5297
Mailing Address - Fax:
Practice Address - Street 1:331 E 244TH ST
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44123-1434
Practice Address - Country:US
Practice Address - Phone:216-355-5297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider