Individual
MRS. ROBIN AIMEE HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Contact information
Practice address
3400 CIVIC CENTER BLVD, 3 PERELMAN WEST, PHILADELPHIA, PA 19104-4306
(215) 615-3360
(215) 615-3349
Mailing address
3400 CIVIC CENTER BLVD, 3 PERELMAN WEST, PHILADELPHIA, PA 19104-4306
(215) 615-3360
(215) 615-3347
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
RN529574L
PA
363LA2200X
Adult Health Nurse Practitioner
SP009749
PA
Other
Enumeration date
06/15/2007
Last updated
02/05/2009
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