Individual provider · Type 1 NPI

Shanti Elizabeth Herzog, FNP

Family Nurse Practitioner · Tumwater, WA

NPI number 1770959025 Active

Practice location

6334 Littlerock Rd SW
Tumwater, WA 98512-7332

Fax (360) 704-7591

Mailing address

2101 E Yesler Way, Ste 210
Seattle, WA 98122-5959

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP60791095 (WA)

Family Nurse Practitioner: Definition to come...

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About NPI 1770959025

Shanti Elizabeth Herzog, FNP's National Provider Identifier is 1770959025, issued on Aug 20, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tumwater, WA. The record was last updated on Dec 11, 2020.