person
Shanti Elizabeth Herzog, FNP
Family Nurse Practitioner in Tumwater, Washington
NPI 1770959025

Shanti Elizabeth Herzog is a Family Nurse Practitioner based in Seattle, WA and is specialized in Family. Shanti Elizabeth Herzog practices in Tumwater, WA and has the professional credentials of FNP. The NPI Number for Shanti Elizabeth Herzog is 1770959025 and holds a License No. AP60791095 (Washington).

The current practice location address for Shanti Elizabeth Herzog is 6334 Littlerock Rd Sw, Tumwater, WA and can be reached out via phone at 360-704-7590 and via fax at 360-704-7591.

Location: 6334 Littlerock Rd Sw, Tumwater, WA, 98122-5959
person
Provider Profile Details
NPI Number
1770959025
Provider Name
Shanti Elizabeth Herzog
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
6334 Littlerock Rd Sw, Tumwater, WA, 98122-5959
Phone Number
360-704-7590
Fax Number
360-704-7591
Provider Enumeration Date
08/20/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22959 05 OR
096511 05 OR
institution
Provider Business Practice Location Address Details
Address
6334 Littlerock Rd Sw
City
State
Zip
98512-7332
Phone Number
360-704-7590
Fax Number
360-704-7591
person
Provider Business Mailing Address Details
Address
6334 Littlerock Rd Sw
City
State
Zip
98512-7332
Phone Number
360-704-7590
Fax Number
360-704-7591
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP60791095 (Washington)
Definition
Definition to come...
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