Individual provider · Type 1 NPI
Elizabeth Denise Herzog, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · St. Petersburg, FL
NPI number
1114758224
Active
Practice location
1515 22nd Ave N
St. Petersburg, FL 33704-3113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 11033735 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1114758224
Elizabeth Denise Herzog, PMHNP-BC's National Provider Identifier is 1114758224, issued on Aug 10, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in St. Petersburg, FL. The record was last updated on Jun 11, 2025.