Individual
MRS. SALLY HERNANDEZ ALFRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
550 17TH AVE, STE 680, 6TH FLOOR, SEATTLE, WA 98122-5788
(206) 861-8550
(206) 861-8551
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024167352
VA
363LF0000X
Family Nurse Practitioner
Primary
AP60254258
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06695
GROUP PTAN
VA
Enumeration date
06/12/2007
Last updated
03/28/2013
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