IndividualActive
Shannon Herzog, CCP
NPI 1881945962 · Perfusionist · Mesa, AZ
Provider details
- NPI number
- 1881945962
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CCP
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
1830 S Alma School Rd
Suite 108
Mesa, AZ 85210-3056
Phone: (480) 248-3000
Fax: (480) 248-3050
Approximate (ZIP-level) locationGet directions
Mailing address
1830 S Alma School Rd
Mesa, AZ 85210-3056
Registry dates
- Enumerated
- 2012-09-28
- Last updated
- 2012-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.