Hertzog, Erica L
Hertzog, Erica L is an individual health care provider with primary practice located at 1120 Wayzata Blvd E Ste 210 , Wayzata MN 55391-1915. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Hertzog, Erica L can be contacted via phone (320) 864-1236.Contact Information
Primary practice address
1120 Wayzata Blvd E Ste 210
Wayzata MN 55391-1915
Phone: (320) 864-1236
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Community Health | 163WC1500X | R-186114-1 | Minnesota |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 9957 | Minnesota |
Profile Details
NPI number | 1942704895 |
---|---|
LBN Legal business name | Hertzog, Erica L |
Credentials | Public Health Nurse (PHN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 23rd, 2018 |
Last updated | Mar 9th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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