Diane M Herron
Nurse Practitioner
25200 Center Ridge Road Suite 1100
Westlake
, Ohio 44145
Diane M Herron
Nurse Practitioner
25200 Center Ridge Road Suite 1100
Westlake
, Ohio 44145
(440) 895-5050
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About
Features
Specialties
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Diane M Herron
- 20525 Center Ridge Road Suite 220
- Rocky River, OH
- Zip : 44116
- Fax : (440) 895-5050
- Phone : (440) 895-5021
Second Address
- Diane M Herron
- 25200 Center Ridge Road Suite 1100
- Westlake, OH
- Zip : 44145
- Fax : (440) 331-3894
- Phone : (440) 333-3332
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NP05806 | OH |
National Provider Identifier
| NPI | 1003883224 |
|---|---|
| Provider Name | Diane M Herron |
| First Address | Rocky River, OH 44116 |
| Second Address | Westlake, OH 44145 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/03/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000356906 | ANTHEM (01) | |
| 0113106 | UNITED HEALTHCARE (01) | |
| 0653707 | AETNA (01) | |
| 2431336 | (05) | OH |
| 341783789116 | CARESOURCE (01) | |
| A72356 | SUMMACARE APEX (01) | |
| P98417 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.