Herold, Beth Clay

Herold, Beth Clay is an individual health care provider with primary practice located at 4020 N Roxboro St , Durham NC 27704-2120. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Herold, Beth Clay can be contacted via phone (919) 479-2690.

Contact Information

Primary practice address
4020 N Roxboro St Durham NC 27704-2120
Phone: (919) 479-2690
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN3246712 Florida
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 252884 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5005669 North Carolina

Profile Details

NPI number 1770519134
LBN Legal business name Herold, Beth Clay
Credentials PNP, DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2006
Last updated Jul 30th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770519134 NPPES
Florida MEDICAID 303217500
Florida Other RN3246712
Florida Other 252884
Florida Other 5005669

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