Herzog, Gwen

Herzog, Gwen is an sole proprietor health care provider with primary practice located at 903 Harvey Ave , Watertown WI 53094-5007. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Herzog, Gwen can be contacted via phone (920) 248-1723.

Contact Information

Primary practice address
903 Harvey Ave Watertown WI 53094-5007
Phone: (920) 248-1723
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 191155 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 7630-33 Wisconsin

Profile Details

NPI number 1467832667
LBN Legal business name Herzog, Gwen
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2015
Last updated Apr 13th, 2017 - about 9 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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