Provider Demographics
NPI:1316165426
Name:HERMAN, JUDITH (RN,MSN,FNP-C)
Entity type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:
Last Name:HERMAN
Suffix:
Gender:F
Credentials:RN,MSN,FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 E AVOCET AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-2237
Mailing Address - Country:US
Mailing Address - Phone:956-648-1545
Mailing Address - Fax:
Practice Address - Street 1:101 E RIDGE RD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1248
Practice Address - Country:US
Practice Address - Phone:956-632-6419
Practice Address - Fax:956-632-6696
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX224433363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily