Individual
BRIAN N HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
406 S 30TH AVE, STE 202, YAKIMA, WA 98902-3713
(509) 972-1051
(509) 972-4166
Mailing address
406 S 30TH AVE, STE 202, YAKIMA, WA 98902-3713
(509) 972-1051
(509) 972-4166
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP30007249
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9647645
—
WA
01
—
P00282250
RAILROAD MEDICARE
WA
Enumeration date
08/05/2006
Last updated
12/17/2007
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