| Doctor Name: | ELLEN MARIE HERRING |
| NPI Number: | 1316040645 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 4704105457 |
| Business Practice Address: | 8225 Lake St Bear Lake, MI - 49614 |
| Business Phone Number: | 2318643314 |
| Business Fax Number: | 2318643325 |
| Mailing Address: | 6227 Frankfort Hwy, BENZONIA |
| State: | MI |
| Postal Code: | 496169654 |
| Phone Number: | 2318829661 |
| Fax Number: | 2318829616 |
| NPI Enumeration Date: | 09/05/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 4704105457 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |