Basic Information
| Provider Information | |||||||||
| NPI: | 1134212046 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HERT | ||||||||
| FirstName: | LYNN | ||||||||
| MiddleName: | P | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RN | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 515 READ ST | ||||||||
| Address2: | |||||||||
| City: | EVANSVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 477101739 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8124507424 | ||||||||
| FaxNumber: | 8124503071 | ||||||||
| Practice Location | |||||||||
| Address1: | 515 READ ST | ||||||||
| Address2: | |||||||||
| City: | EVANSVILLE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 477101739 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8124507424 | ||||||||
| FaxNumber: | 8124503071 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/02/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WA2000X | 28071389A | IN | Y | Nursing Service Providers | Registered Nurse | Administrator |
No ID Information.