Louis E Herzog, Nurse practitioner
Nurse Practitioner, Psych/Mental Health in Stockton, CA. Individual provider (NPI-1).
NPI number1356830384
StatusActive
Last updated in NPPESSep 8, 2018
Details
- NPI
- 1356830384
- Entity type
- Individual (NPI-1)
- Name
- Mr. Louis E Herzog
- Credential
- Nurse practitioner
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 4, 2018
- Last updated
- Sep 8, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | NP95009654 | CA | Yes |
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | RN140980 | LA | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | AP10024 | LA |
Practice location
7210 Murray DrStockton, CA 95210
Phone 209-373-2800 · Fax 209-373-2878
Mailing address
525 E State StBaton Rouge, LA 70802-6929
Phone 985-255-3776
Other practice locations
5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Baton Rouge, LA 70808-4375
Phone 225-765-8964
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