Basic Information
| Provider Information | |||||||||
| NPI: | 1932438090 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HERRERA | ||||||||
| FirstName: | LAURA | ||||||||
| MiddleName: | PATRICIA | ||||||||
| NamePrefix: | MISS | ||||||||
| NameSuffix: | |||||||||
| Credential: | R.N., APN (FNP-C) | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4824 ALBERTA AVE STE 403 | ||||||||
| Address2: | |||||||||
| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 799052725 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9155217839 | ||||||||
| FaxNumber: | 9155217980 | ||||||||
| Practice Location | |||||||||
| Address1: | 4824 ALBERTA AVE STE 403 | ||||||||
| Address2: | |||||||||
| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 799052725 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9155217839 | ||||||||
| FaxNumber: | 9155217980 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/18/2009 | ||||||||
| LastUpdateDate: | 06/19/2011 | ||||||||
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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 | 363LF0000X | 647104 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.