| Doctor Name: | MRS. CAROL ANNE HERRLIE |
| NPI Number: | 1073838900 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, FNP |
| License Number: | RN255133 FUNISNP3280 |
| Business Practice Address: | 5253 Bucks Bar Rd Placerville, CA - 956677869 |
| Business Phone Number: | 5306229124 |
| Business Fax Number: | 5306260677 |
| Mailing Address: | 5253 Bucks Bar Rd, PLACERVILLE |
| State: | CA |
| Postal Code: | 956677869 |
| Phone Number: | 5306229124 |
| Fax Number: | 5306260677 |
| NPI Enumeration Date: | 04/03/2010 |
| NPI Last Update Date: | 04/03/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SF0001X |
| License Number: | RN255133 FUNISNP3280 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Family Health |
| Taxonomy Definition: | |