Individual
CAREY BETH HERZOG
Active
Individual
CAREY BETH HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
6750
MN
363L00000X
Nurse Practitioner
6750
MN
363LF0000X
Family Nurse Practitioner
Primary
6750
MN
Other
Enumeration date
08/06/2019
Last updated
08/07/2019
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