Elizabeth Palmer Herdrich, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RO54173 Issued in ME

Practice address

489 State St
Bangor, ME 04401-6616

Phone

(207) 973-6670

Fax

(207) 973-5226

NPI assigned

Nov 17, 2007

Last updated

Dec 13, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1124209200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016616",
            "telephone_number": "207-973-6670",
            "fax_number": "207-973-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 STATE ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016616",
            "telephone_number": "207-973-6670",
            "fax_number": "207-973-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERDRICH",
        "first_name": "ELIZABETH",
        "middle_name": "PALMER",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-17",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "ME",
            "license": "RO54173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna F Henderson, M.D.
• Mark Henderson, MD
• Beverly Henion
• Michelle D Henneberry, PMHNP
• Brandon Herbert, LMSW-CC
• Jade Herman
• Felix Hernandez Jr., MD
• Amelia J Hersey, PAC
• Ericka Elaine Hertlein, MT-BC
• Avery Devin Herzog, LMSW-CC

• Adult Health Nurse Practitioner in Bangor, ME
• Providers in Bangor, ME by specialty
• Adult Health Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.