Herrera, Alida Suzanne

Herrera, Alida Suzanne is an individual health care provider with primary practice located at 44 Bonnie Ln , Sylva NC 28779-8511. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Herrera, Alida Suzanne can be contacted via phone (828) 631-3973.

Contact Information

Primary practice address
44 Bonnie Ln Sylva NC 28779-8511
Phone: (828) 631-3973
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 201500 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201500 North Carolina

Profile Details

NPI number 1023189255
LBN Legal business name Herrera, Alida Suzanne
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2006
Last updated Oct 1st, 2019 - about 5 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 1023189255 NPPES
North Carolina Other 201500 MEDICAL LICENSE
North Carolina MEDICAID 6113070 MEDICAL LICENSE

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