Individual
NICHOLAS MICHAEL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1550 N 115TH ST, SEATTLE, WA 98133-8401
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
59423
MN
207X00000X
Orthopaedic Surgery Physician
MD61286038
WA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
MD61286038
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2014
Last updated
06/07/2022
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