Sierra N Herbert, PA-C
Physician Assistant, Surgical in Oakland Park, FL. Individual provider (NPI-1).
NPI number1265083752
StatusActive
Last updated in NPPESMar 6, 2020
Details
- NPI
- 1265083752
- Entity type
- Individual (NPI-1)
- Name
- Sierra N Herbert
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 25, 2019
- Certification date
- Mar 6, 2020
- Last updated
- Mar 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 9112383 | FL | Yes |
Practice location
5597 N Dixie HwyOakland Park, FL 33334-3406
Phone 954-958-4800
Mailing address
5841 Ne 21st DrFort Lauderdale, FL 33308-2511
Phone 954-804-6831
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