Erica L Hertzog, PHN
Erica L Hertzog, PHN is a Nurse Practitioner in Wayzata, Minnesota. Qualified in 2022, 4 years ago. Practices with Portages Health LLC, a 3-clinician group and offers telehealth. Licensed in Minnesota.
- Years since qualifying
- 4
- Licensed in
- MN
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
1120 Wayzata Blvd E Ste 210Wayzata, MN 55391-1915
Phone: (320) 864-1236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 9957 (MN) |
|---|---|
| Community Health Registered Nurse | Taxonomy 163WC1500X · Licence R-186114-1 (MN) |
Record details
| NPI number | 1942704895 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PHN |
| Sole proprietor | No |
| NPI enumerated | March 23, 2018 |
| Last updated in NPPES | March 9, 2023 |
| Certification date | March 9, 2023 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Portages Health Llc — 3 clinicians |
| Accepts Medicare assignment | Not indicated |
| Telehealth | Offers telehealth services |