Individual
MS. MOLLY MARIE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, CNM
Contact information
Practice address
34509 9TH AVE S STE 207, FEDERAL WAY, WA 98003-8709
(253) 815-9595
(253) 426-4322
Mailing address
34509 9TH AVE S STE 207, FEDERAL WAY, WA 98003-8709
(253) 815-9595
(253) 426-4322
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP60791431
WA
390200000X
Student in an Organized Health Care Education/Training Program
RN00112651
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2097755
—
WA
01
—
AP60791431
STATE OF WA TAXONOMY CODE : 367A00000X
WA
Enumeration date
11/02/2016
Last updated
12/04/2020
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