Shandell Lee Herrick, FNP-Bc
Registered Nurse in Watertown, WI. Individual provider (NPI-1).
NPI number1003674896
StatusActive
Last updated in NPPESMar 7, 2024
Details
- NPI
- 1003674896
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Shandell Lee Herrick
- Credential
- FNP-Bc
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 7, 2024
- Certification date
- Mar 7, 2024
- Last updated
- Mar 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 246761-30 | WI | Yes |
Practice location
125 Hospital DrWatertown, WI 53098-3303
Phone 262-325-9309
Mailing address
500 Mary Knoll LnWatertown, WI 53098-1219
Phone 262-325-9309
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All 24 Registered Nurse providers in Watertown · All 528 providers in Watertown
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