Individual provider · Type 1 NPI
Gwen Herzog, RN
Family Nurse Practitioner · Watertown, WI
NPI number
1467832667
Active
Practice location
903 Harvey Ave
Watertown, WI 53094-5007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 191155 (WI) |
| Family Nurse Practitioner Primary | 363LF0000X | 7630-33 (WI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1467832667
Gwen Herzog, RN's National Provider Identifier is 1467832667, issued on Jun 2, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Watertown, WI. The record was last updated on Apr 13, 2017.