Hertzog Donovan, Lee Ann

Hertzog Donovan, Lee Ann is an individual health care provider with primary practice located at 250 N Central Ave #101, Wayzata MN 55391. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Hertzog Donovan, Lee Ann can be contacted via phone (952) 473-0211.

Contact Information

Primary practice address
250 N Central Ave #101 Wayzata MN 55391
Phone: (952) 473-0211
Fax: (952) 473-7908
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X R1497120 Minnesota

Profile Details

NPI number 1376516831
LBN Legal business name Hertzog Donovan, Lee Ann
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jul 8th, 2007 - about 19 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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