MRS. CAROL LYNN HERZBERG (NPI# 1871743138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871743138 |
| Entity Type | Individual |
| Full Name | MRS. CAROL LYNN HERZBERG |
| Credential | APNP |
| Practice Address |
S89w23120 King Pkwy Big Bend WI 53103-9720 |
| Practice Telephone | 2626624824 |
| Mailing Telephone | 2626624824 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
399-033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39734300 | 05 |
| Street Address |
S89W23120 KING PKWY |
| City | BIG BEND |
| State | WI |
| Zip Code | 53103-9720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932404654 | Town of Vernon | Ambulance | W233 S7475 Woodland Ln, Big Bend, WI 53103 | 2011-01-12 |
| 1932304722 | Halpin Family Chiropractic and Rehab Center S.c. | Chiropractor | W236 S7050 Hwy 164 Ste. 4, Big Bend, WI 53103 | 2007-06-20 |
| 1063554723 | Sean Cedric Halpin | Chiropractor | W236 S7050 Hwy164, Ste. 4, Big Bend, WI 53103 | 2007-02-12 |
| 1487706057 | Jerome Drugs Inc | Pharmacy | W230s8715 Clark St, Big Bend, WI 53103 | 2007-01-17 |
| 1073674560 | James M Roadt | Dentist | W23657050 Big Bend Drive, Big Bend, WI 53103 | 2006-12-12 |
| 1205862133 | Hammer Rehab & Fitness, Ltd | Occupational Therapist | W 231 S 7680 Big Bend Dr., Big Bend, WI 53103 | 2006-06-23 |
| 1861654113 | Barbara Ann Prosen | Physical Therapy Assistant | W237s7855 Westwood Dr, Big Bend, WI 53103-9407 | 2008-06-27 |
| 1083962906 | Kristi Lang | Registered Nurse | W228s9140 Putnam St, Big Bend, WI 53103-9414 | 2012-08-27 |
| 1427282839 | Gina Marie Mullooly | Anesthesiology | W223s6915 Alameda Dr, Big Bend, WI 53103-9440 | 2009-05-13 |
| 1467826479 | Thomas Wesley | Durable Medical Equipment & Medical Supplies | S82w22885 Parkwood Trl, Big Bend, WI 53103-9453 | 2015-11-15 |
| Find all providers in zip 53103 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548214133 | Lorrie W Hylkema | Clinical Nurse Specialist | 306 N Brooks St, Va Csp, Madison, WI 53715-1002 | 2006-05-19 |
| 1457583163 | Diane Matilda Pivonka | Clinical Nurse Specialist | 1499 6th St, Green Bay, WI 54304-2252 | 2009-08-13 |
| 1194827253 | Debra A Day | Clinical Nurse Specialist | 300 4th St N, La Crosse, WI 54601-3228 | 2006-09-01 |
| 1790898294 | Mary Ellen Yahle | Clinical Nurse Specialist | 2524 E Webster Pl, Suite 203, Milwaukee, WI 53211-4253 | 2006-08-17 |
| 1558374892 | Jeannette Carmen Merrill | Clinical Nurse Specialist | 3520 Tower Ave, Superior, WI 54880-5335 | 2006-08-15 |
| 1962419382 | Kathleen Collins | Clinical Nurse Specialist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2006-08-01 |
Please comment or provide details below to improve the information on MRS. CAROL LYNN HERZBERG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.