Individual
MARSHONDA RENEE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10500 QUIVIRA RD, OVERLAND PARK, KS 66215-2306
(913) 956-1724
Mailing address
10500 QUIVIRA RD, OVERLAND PARK, KS 66215-2306
(913) 956-1724
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2016019951
MO
363L00000X
Nurse Practitioner
Primary
2024044294
MO
363LF0000X
Family Nurse Practitioner
22832863
KS
Other
Enumeration date
10/25/2024
Last updated
12/08/2024
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