Search › Minnesota › 106S00000X
Micah Herndon
NPI 1003532508 · on the registry since 2022
Practice
- Address
- 3333 University Ave Se
Minneapolis, MN 55414 - Phone
- (201) 589-3367
- Organisation at this address
- Fraser Child And Family Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 814
Additional practice sites
- 5826 Pillsbury Ave S, Minneapolis, MN
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Also registered as
- 103K00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-10-17
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota