person
Mr. Louis E Herzog, NURSEPRACTITIONER
Psychiatric/Mental Health Nurse Practitioner in Stockton, California
NPI 1356830384

Louis E Herzog is a Psychiatric/Mental Health Nurse Practitioner based in Baton Rouge, CA and is specialized in Psychiatric/Mental Health. Louis E Herzog practices in Stockton, CA and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Louis E Herzog is 1356830384 and holds a License No. RN140980 (California).

The current practice location address for Louis E Herzog is 7210 Murray Dr, Stockton, CA and can be reached out via phone at 209-373-2800 and via fax at 209-373-2878. You can also correspond with Louis E Herzog through the mailing address at 525 E STATE ST, BATON ROUGE, LA - 70802-6929 (mailing address contact number: 985-255-3776).

Location: 7210 Murray Dr, Stockton, CA, 70802-6929
person
Provider Profile Details
NPI Number
1356830384
Provider Name
Louis E Herzog
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Male
Address
7210 Murray Dr, Stockton, CA, 70802-6929
Phone Number
209-373-2800
Fax Number
209-373-2878
Provider Enumeration Date
05/04/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AP10024 01 LA LOUISIANA STATE BOARD OF NURSING
RN140980 01 LA WAITING ON LICENSE FOR NP
2017037465 01 PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER
NP95009654 01 CA CALIFORNIA STATE BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
7210 Murray Dr
City
State
Zip
95210
Phone Number
209-373-2800
Fax Number
209-373-2878
person
Provider Business Mailing Address Details
Address
7210 Murray Dr
City
State
Zip
95210
Phone Number
209-373-2800
Fax Number
209-373-2878
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
License No.
AP10024 (Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
RN140980 (Louisiana)
Definition
Definition to come...
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