| Provider / Organization | NPI | Date Certified |
|---|---|---|
| BIRDINE MILDRED-MARIE HERALD | 1457018749 | 2021-11-21 |
Birdine Mildred-marie Herald is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1457018749. Registration indicates Birdine Mildred-marie Herald is a provider of services with a specialization in Nursing Service Providers, Licensed Practical Nurse (Licensed Practical Nurse, ) (Licensed Practical Nurse, Nursing Service Providers)
| Entity Type | Individual |
| Provider Name | Birdine Mildred-marie Herald LPN |
| Practice Office Address | 2100 ROANOKE ST STE 1 CHRISTIANSBURG, VA US |
| Practice Office Telephone | 4349416207 |
| Mailing Address | 1941 CHARLEY BALLARD RD LINDSIDE, WV 249517360 US |
| Business Telephone | 3049941262 |
| Code | Practice | License No State |
|---|---|---|
| 164W00000X PRIMARY | Nursing Service Providers Licensed Practical Nurse Licensed Practical Nurse Licensed Practical Nurse Nursing Service Providers | 0002061023
VA |
| 193400000X SING | Group Code |
| 0002061023 | OTHER | VA | LPN |