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MS. STEPHANIE LOUISE HERRICK FNP
NPI 1083702716
Nurse Practitioner - Family in Lake Havasu City, AZ

Active since October 10, 2006
1987 MCCULLOCH BLVD N, STE 101, LAKE HAVASU CITY, AZ 86403(928) 453-6963(928) 453-7011 Get Directions Write a Review

NPPES record last updated: September 10, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Stephanie Louise Herrick Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. STEPHANIE LOUISE HERRICK FNP (NPI 1083702716) is an individual family provider in Lake Havasu City, Arizona, licensed in Arizona (AP328) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1083702716
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. STEPHANIE LOUISE HERRICKCredential: FNP
Location Address1987 MCCULLOCH BLVD N, STE 101Lake Havasu City, AZ 86403-5682
Mailing Address1988 Spruce DrLake Havasu City, AZ 86406-7514 · (928) 575-6713
Phone(928) 453-6963
Fax(928) 453-7011
Sole ProprietorNo
Enumeration DateOctober 10, 2006
Last NPPES UpdateSeptember 10, 2009
✔ NPI 1083702716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · AP328
1987 MCCULLOCH BLVD N, Lake Havasu City, AZ 86403
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Other Identifiers 3

Medicare ID-Type Unspecified101878AZ
Medicare UPINR09302AZ
Medicaid144767AZ

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLUE WATER INTERNAL MEDICINE ASSOCIATES PC
Internal Medicine
1987 MCCULLOCH BLVD N, SUITE 101
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 453-6963
FOCUS OPTICAL, LLC
Non-Pharmacy Dispensing Site
1987 MCCULLOCH BLVD N, SUITE #108
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 453-3777
TRISTATE MEDICAL SPECIALISTS LLC
Pain Medicine (Pain Medicine)
1987 MCCULLOCH BLVD N
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 788-3333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Herrick's NPI number?

The NPI number for Stephanie Herrick is 1083702716. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Stephanie Herrick located?

Stephanie Herrick practices at 1987 Mcculloch Blvd N Ste 101, Lake Havasu City, AZ 86403. The listed phone number is (928) 453-6963.

What is Stephanie Herrick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Stephanie Herrick was last updated on September 10, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.