Whalio Doctors

NPI 1043302920

Larry Heredia, CRNA

Practitioner Certified Registered Nurse Anesthetist Wilmington, DE

Practice location

Address
1600 Rockland Road, Wilmington, DE 19803-3607
Phone
(302) 651-4200
Fax
(302) 651-5365
Mailing address
P.O. Box 191, Rockland, DE 19723-0191

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence L60A00240 (DE)
Anesthesiologist Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence L60A00240 (DE)

Registry record

NPI
1043302920
Entity type
Individual
Sex (as registered)
Male
NPI issued
29 Sep 2006
Record last updated
27 Dec 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.