Basic Information
Provider Information
NPI: 1811093826
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HERD
FirstName: APRIL
MiddleName: STARR
NamePrefix: MR.
NameSuffix:  
Credential: PA-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2625 E DIVISADERO ST
Address2:  
City: FRESNO
State: CA
PostalCode: 937211431
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 7085 N CHESTNUT AVE STE 101
Address2:  
City: FRESNO
State: CA
PostalCode: 937200353
CountryCode: US
TelephoneNumber: 5593239236
FaxNumber: 5593230294
Other Information
ProviderEnumerationDate: 09/16/2006
LastUpdateDate: 11/01/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 11/01/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000X16761CAN Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 
363AM0700X16761CAY Physician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical

No ID Information.


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