AMANDA LYNN HERZOG

SHREVEPORT, LA
NPI1588344063
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  231657)
Enumeration Date2023-07-20
Last Update Date2025-05-06
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
2449 HOSPITAL DR STE 340
BOSSIER CITY, LA 71111-1912
Phone number: 318-841-4004