Individual
MEGAN LEAH HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
12600 W COLFAX AVE STE B200, LAKEWOOD, CO 80215-3736
(303) 459-4000
Mailing address
4211 ZODIAC PL, CASTLE ROCK, CO 80109-3769
(952) 288-5920
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
R1675081
MN
363LP2300X
Primary Care Nurse Practitioner
Primary
0995065-NP
CO
Other
Enumeration date
05/17/2007
Last updated
11/10/2023
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