| Shanti Elizabeth Herzog, FNP | |
|
6334 Littlerock Rd Sw, Tumwater, WA 98512-7332 | |
| (360) 704-7590 | |
| (360) 704-7591 |
| Full Name | Shanti Elizabeth Herzog |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 6334 Littlerock Rd Sw, Tumwater, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770959025 | NPI | - | NPPES |
| 22959 | Medicaid | OR | |
| 096511 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP60791095 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shanti Elizabeth Herzog, FNP 2101 E Yesler Way, Ste 210, Seattle, WA 98122-5959 Ph: (503) 988-7468 | Shanti Elizabeth Herzog, FNP 6334 Littlerock Rd Sw, Tumwater, WA 98512-7332 Ph: (360) 704-7590 |
Mr. Christopher Thomas Ramos, MS, PMHMP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2011 Mottman Rd Sw Bldg 34-216, Tumwater, WA 98512 Phone: 360-358-2853 | |
Consilia Samkia Yeluma, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 344 Cleveland Ave Se Ste H, Tumwater, WA 98501 Phone: 360-489-1438 Fax: 833-941-1260 | |
Louise Kaplan, PHD, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Dennis St Sw Ste A, Tumwater, WA 98501 Phone: 360-754-6367 Fax: 360-754-6429 | |
Diana Wilcox, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 344 Cleveland Ave Se Ste H, Tumwater, WA 98501 Phone: 360-561-9906 | |
Jennifer Lynn Venable, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6334 Littlerock Rd Sw Bldg 6, Tumwater, WA 98512 Phone: 360-704-7590 Fax: 360-704-7591 | |
Mandie Rose Gardner, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7146 Country Village Dr Sw, Tumwater, WA 98512 Phone: 219-384-7104 | |
Dr. Jessica Bruce Ahern, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Dennis St Sw, Tumwater, WA 98501 Phone: 360-754-6367 |