Individual
MRS. MARTI J HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN RN PHNII CLC
Contact information
Practice address
260 S KIPLING STREET, JEFFERSON COUNTY DEPT HEALTH & ENVIRONMENT, LAKEWOOD, CO 80226
(303) 239-7018
(303) 239-7088
Mailing address
260 S KIPLING STREET, JEFFERSON COUNTY DEPT HEALTH & ENVIRONMENT, LAKEWOOD, CO 80226
(303) 239-7018
(303) 239-7088
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
89749
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19555865
—
CO
Enumeration date
11/01/2006
Last updated
07/08/2007
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