SHANTI ELIZABETH HERZOG

TUMWATER, WA
NPI1770959025
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WA  AP60791095)
Enumeration Date2015-08-20
Last Update Date2020-12-11
Business Address
SHANTI ELIZABETH HERZOG FNP
6334 LITTLEROCK RD SW
TUMWATER, WA 98512-7332
Phone number: 360-704-7590
Mailing Address
SHANTI ELIZABETH HERZOG FNP
2101 E YESLER WAY STE 210
SEATTLE, WA 98122-5959
Phone number: 503-988-7468
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