Individual provider · NPI-1
Shardae Herriford
Technician, Other · Lansing, MI
NPI number1265814974
StatusActive
Last updated in NPPESJun 3, 2026
Details
- NPI
- 1265814974
- Entity type
- Individual (NPI-1)
- Name
- Shardae Herriford
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2015
- Certification date
- Jun 3, 2026
- Last updated
- Jun 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
| 171400000X | Health & Wellness Coach | – | – | |
| 172V00000X | Community Health Worker | – | – | |
| 374J00000X | Doula | – | – |
Practice location
3035 Staten Ave Apt 1Lansing, MI 48910-3796
Phone 313-671-8893
Mailing address
3035 Staten Ave Apt 1Lansing, MI 48910-3796
Phone 313-671-8893
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