Individual
MARISSA J HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
411 WESTWOOD DR, WAUSAU, WI 54401
(715) 847-2558
(715) 847-2557
Mailing address
411 WESTWOOD DR, WAUSAU, WI 54401-4152
(715) 847-2558
(715) 847-2557
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0001241907
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
8629-33
WI
Other
Enumeration date
01/21/2013
Last updated
08/21/2018
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