Individual
GEORGE HOWARD HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CNS
Contact information
Practice address
4150 CLEMENT ST G1-111B1, SAN FRANCISCO, CA 94121
(415) 221-4810
Mailing address
88 PALISADES DR, DALY CITY, CA 94015-4511
(415) 516-9852
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
4606
CA
364SG0600X
Gerontology Clinical Nurse Specialist
4606
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2016008577
ANCC ADULT-GERONTOLOGY CNS CERTIFICATION
CA
01
—
4606
CALIFORNIA BOARD OF REGISTERED NURSING CLINICAL NURSE SPECIALIST
CA
01
—
493597
CALIFORNIA BOARD OF REGISTERED NURSING REGISTERED NURSE
CA
Enumeration date
02/05/2018
Last updated
02/05/2018
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