Individual
ASHLEY HERTZOG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
17065 SOUTH 71 HIGHWAY, BELTON, MO 64012
(816) 348-1250
(816) 348-1469
Mailing address
635 SW 1201ST RD, HOLDEN, MO 64040-9236
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2012033366
MO
Other
Enumeration date
09/14/2012
Last updated
10/01/2012
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