Carolina Herrera
Individual provider Active NPI Family Nurse Practitioner · Providence, RI
NPI 1043827645 · NPPES record last updated Oct 27, 2021
Key facts
- NPI
- 1043827645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN02672 (RI)
- Practice address
- 350 Eddy St
Providence, RI 02903-4202 - Phone
- (401) 874-9711
- NPI assigned
- Sep 28, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN02672 | RI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Miriam Hospital | Past | Accepting new patients | |
| Santiago Medical Group, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Nurse Practitioner | 363LF0000X | APRN02672 | RI | Yes |
Addresses
Primary practice location
350 Eddy St
Providence, RI 02903-4202
Mailing address
350 Eddy St
Providence, RI 02903-4202
Other providers in Providence, RI
- Rebecca Hernandez
- Richard A. Hernandez
- Zaida Hernandez
- Kolbe Heroux
- Josseline V. Herrera Velasco
- Sarahi Herrera
- John Charles Herrick
- Kayla Hersey
- Suzanne Herzberg
- Julie Herzlinger
All providers in Providence, RI · Family Nurse Practitioner in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.