Individual
AMANDA LYNN HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
255 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71106-8150
(318) 683-0411
Mailing address
2449 HOSPITAL DR STE 340, BOSSIER CITY, LA 71111-1912
(318) 841-4004
(318) 841-4008
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
231657
LA
Other
Enumeration date
07/20/2023
Last updated
05/06/2025
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