Shanti Elizabeth Herzog, FNP
NPI #1770959025 in Tumwater, Washington
Provider Information
- NPI Number
- 1770959025
- Entity Type
- Individual
- Name
- Shanti Elizabeth Herzog, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Aug 20, 2015
- Last Updated
- Dec 11, 2020
Practice Location
- Address
- 6334 LITTLEROCK RD SW
- City
- Tumwater
- State
- Washington
- ZIP Code
- 98512-7332
- Phone
- (360) 704-7590
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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