Herrick, Diana Lynn

Herrick, Diana Lynn is an individual health care provider with primary practice located at 2016 Vadalabene Dr , Maryville IL 62062-6901. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Herrick, Diana Lynn can be contacted via phone (618) 288-2970.

Contact Information

Primary practice address
2016 Vadalabene Dr Maryville IL 62062-6901
Phone: (618) 288-2970
Fax: (618) 288-3572
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 209.006734041.253728 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.006734 Illinois

Profile Details

NPI number 1932357472
LBN Legal business name Herrick, Diana Lynn
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2008
Last updated Aug 10th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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