Provider Demographics
NPI:1396055067
Name:HERRERA, RIANNE JEAN (MA, NBCT)
Entity type:Individual
Prefix:MS
First Name:RIANNE
Middle Name:JEAN
Last Name:HERRERA
Suffix:
Gender:F
Credentials:MA, NBCT
Other - Prefix:MS
Other - First Name:RIANNE
Other - Middle Name:JEAN
Other - Last Name:VENTURA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, NBCT
Mailing Address - Street 1:11513 SAN JACINTO AVE NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-5528
Mailing Address - Country:US
Mailing Address - Phone:505-480-1860
Mailing Address - Fax:
Practice Address - Street 1:11513 SAN JACINTO AVE NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87112-5528
Practice Address - Country:US
Practice Address - Phone:505-480-1860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-15
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist