Individual
MRS. ELISABETH MEEHNA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN RN APRN-CNS CCM
Contact information
Practice address
935 WILLAGILLESPIE RD STE A, EUGENE, OR 97401-2106
(541) 600-0878
(541) 854-4000
Mailing address
935 WILLAGILLESPIE RD STE A, EUGENE, OR 97401-2106
(708) 666-0030
(541) 854-4000
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
201406369RN
OR
163WS0121X
Plastic Surgery Registered Nurse
201406369RN
OR
363LA2100X
Acute Care Nurse Practitioner
202213113CNS-PP
OR
364SA2100X
Acute Care Clinical Nurse Specialist
Primary
202213113CNS-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202213113CNS-PP
APRN LICENSE
OR
Enumeration date
06/08/2022
Last updated
06/22/2024
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