Individual
MANUEL P HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
500 LILLY RD NE STE 150, OLYMPIA, WA 98506
(360) 413-8250
Mailing address
500 LILLY RD NE STE 204, OLYMPIA, WA 98506-5197
(360) 413-8191
(253) 682-2427
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
108991
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60909561
WA
Other
Enumeration date
10/12/2017
Last updated
04/30/2019
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