Individual
CAREY BETH HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 251-2700
Mailing address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 251-2700
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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