Individual
KRISTEN HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
6590 N SCOTTSDALE RD STE 160, SCOTTSDALE, AZ 85253-4483
(480) 823-0119
Mailing address
4618 E GLENROSA AVE, PHOENIX, AZ 85018-4324
(972) 838-6518
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
261428
AZ
Other
Enumeration date
08/24/2021
Last updated
05/08/2024
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