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Contact Information

HEATHER HERBOLD
724 DELAWARE AVE
FOUNTAIN HILL, PA18015-1108
 Phone: 717-855-7621
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
 

Hospice

163WH1000X
Indicates primary specialty

NPI Profile & details for HEATHER HERBOLD · (Female)

NPI # 1457170615
Status Active
Credentials
Entity Individual
Enumeration date 10/05/2024
Last updated 11/14/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • PA License # RN712920
  • PA License # SP030930
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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