| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ISABELLA MARIEL HERRERA | 1487158572 | 2023-02-12 |
Isabella Mariel Herrera is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1487158572. Registration indicates Isabella Mariel Herrera is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
| Entity Type | Individual |
| Provider Name | Isabella Mariel Herrera |
| Practice Office Address | 790 CONCOURSE PKWY S STE 200 MAITLAND, FL US |
| Practice Office Telephone | 4077676411 |
| Mailing Address | 14250 NOTTINGHAM WAY CIR ORLANDO, FL 328287802 US |
| Code | Practice | License No State |
|---|---|---|
| 390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |