Patrica Linn Herz, LPN

Individual provider Active NPI Licensed Practical Nurse · Lodgepole, NE

NPI 1194017780 · NPPES record last updated May 14, 2011

Key facts

NPI
1194017780
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
11446 (NE)
Practice address
14129 Road 8
Lodgepole, NE 69149-2508
Phone
(308) 249-6465
Fax
(308) 377-2432
NPI assigned
May 14, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11446NEMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 11446 NE Yes

Addresses

Primary practice location

14129 Road 8
Lodgepole, NE 69149-2508

Mailing address

14129 Road 8
Lodgepole, NE 69149-2508
Phone (308) 249-6465

Other providers in Lodgepole, NE

All providers in Lodgepole, NE · Licensed Practical Nurse in Nebraska

Sources for this page

Verify at the official NPI Registry.