Kristen Herina, APRN, FNP-BC

Individual provider Active NPI Family Nurse Practitioner · Elsberry, MO

NPI 1912417569 · NPPES record last updated Oct 10, 2017

Key facts

NPI
1912417569
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
2017036302 (MO)
Practice address
106 Broadway St
Elsberry, MO 63343-1345
Phone
(573) 898-9100
NPI assigned
Oct 10, 2017
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2017036302 MO Yes

Addresses

Primary practice location

106 Broadway St
Elsberry, MO 63343-1345

Mailing address

706 Longhorn Dr
O Fallon, MO 63368-6961
Phone (636) 448-4733

Other providers in Elsberry, MO

All providers in Elsberry, MO · Family Nurse Practitioner in Missouri

Sources for this page

Verify at the official NPI Registry.