Doctor Name: | MRS. MICHELE HERBERT |
NPI Number: | 1083005516 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 3009198 |
Business Practice Address: | 4305 New Shepherdsville Rd Bardstown, KY - 400049019 |
Business Phone Number: | 5023505000 |
Business Fax Number: | |
Mailing Address: | 5901-c Peachtree Dunwoody Rd, Ste 350 ATLANTA |
State: | GA |
Postal Code: | 303285661 |
Phone Number: | 6784418500 |
Fax Number: | |
NPI Enumeration Date: | 02/05/2015 |
NPI Last Update Date: | 10/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 3009198 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |