SHANNON HERTZOG, BS, MS
Dietitian, Registered
Active
Individual
NPI: 1124602560
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dietitian, Registered | 133V00000X | Yes | DI61176521 (WA) |
Frequently Asked Questions
NPI 1124602560 is the National Provider Identifier for SHANNON HERTZOG, BS, MS, a Dietitian, Registered provider located in Longview, WA. This NPI was enumerated on May 11, 2021.
SHANNON HERTZOG, BS, MS practices at 1615 DELAWARE ST, Longview, WA 98632.
Quick Facts
- NPI
- 1124602560
- Type
- Individual
- Enumerated
- May 11, 2021
- Last Updated
- Dec 20, 2025
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