Individual provider · Type 1 NPI
Louis E. Herzog, NURSE PRACTITIONER
Psychiatric/Mental Health Nurse Practitioner · Stockton, CA
NPI number
1356830384
Active
Practice location
7210 Murray Dr
Stockton, CA 95210
Fax (209) 373-2878
Mailing address
525 E State St
Baton Rouge, LA 70802-6929
Other practice locations
- 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 · (225) 765-8964
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | RN140980 (LA) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP10024 (LA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | NP95009654 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1356830384
Louis E. Herzog, NURSE PRACTITIONER's National Provider Identifier is 1356830384, issued on May 4, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Stockton, CA. The record was last updated on Sep 8, 2018.