AMANDA LYNN HERZOG

SHREVEPORT, LA
NPI1588344063
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  231657)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: LA  231657)
Enumeration Date2023-07-20
Last Update Date2023-10-25
Business Address
AMANDA LYNN HERZOG FNP-C
255 BERT KOUNS INDUSTRIAL LOOP
SHREVEPORT, LA 71106-8150
Phone number: 318-683-0411
Mailing Address
AMANDA LYNN HERZOG FNP-C
1512 W KIRBY PL
SHREVEPORT, LA 71103-3822
Phone number: 318-626-0287