Provider Demographics
NPI:1528249604
Name:HERRON, CATHERINE (LPN)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:
Last Name:HERRON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 WILDWOOD LN
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65583-2444
Mailing Address - Country:US
Mailing Address - Phone:574-647-6647
Mailing Address - Fax:
Practice Address - Street 1:GLWACH,GEN LEONARD WOOD ARMY COM HOSPITAL
Practice Address - Street 2:128 MISSOURI AVE
Practice Address - City:FT LEONARD WOOD
Practice Address - State:MO
Practice Address - Zip Code:65473
Practice Address - Country:US
Practice Address - Phone:573-596-1761
Practice Address - Fax:573-596-0559
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-17
Last Update Date:2025-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO044860164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse