Female

Kathryn M. Herricks ANP

Nurse Practitioner in Tampa, FL(View on Map)

Full Name

Kathryn M Herricks ANP

NPI Number

1730444597

NPI Type

Individual Provider

Gender

Female

Enumeration Date

07/09/2012

Specialties

(Taxonomies)

Code

363L00000X

Primary Taxonomy

Yes

Licenses

State

Florida
Illinois

License Number

APRN11012287
209-009175

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 198441 SUITE 850
12902 USF MAGNOLIA DR

City

Atlanta
Tampa

State

GA
FL

Postal Code

30384-8441
33612-9416

Country

US
US

Telephone Number

N/A
(813) 745-4673

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

KATHRYN.HERRICKS@DIRECT.MOFFITT.ORG

Endpoint Description

Unknown

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

12902 Usf Magnolia DrTampa, FL336129416US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/29/2021

Provider Address

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