Herring, Tiara

Herring, Tiara is an individual health care provider with primary practice located at 63 Melrose Ct , South Elgin IL 60177-1653. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Herring, Tiara can be contacted via phone (219) 315-6581.

Contact Information

Primary practice address
63 Melrose Ct South Elgin IL 60177-1653
Phone: (219) 315-6581
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209023011 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209023011 Illinois

Profile Details

NPI number 1225613953
LBN Legal business name Herring, Tiara
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2021
Last updated Jul 11th, 2023 - about last year

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 1225613953 NPPES
Illinois MEDICAID 209023011

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