Individual
MARISSA J HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
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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