Herson, Patricia

Herson, Patricia is an individual health care provider with primary practice located at 1100 Central Ave Se Palliative Care, Albuquerque NM 87106-4930. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Herson, Patricia can be contacted via phone (505) 252-7393.

Contact Information

Primary practice address
1100 Central Ave Se Palliative Care Albuquerque NM 87106-4930
Phone: (505) 252-7393
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R161673 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X CNP01391 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X CNP01391 New Mexico

Profile Details

NPI number 1013968148
LBN Legal business name Herson, Patricia
Credentials C.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Aug 10th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1013968148 NPPES
Maryland MEDICAID 407573100

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