Hernandez-Koogle, Clarisa
Hernandez-Koogle, Clarisa is an individual health care provider with primary practice located at 7375 S Potomac St , Centennial CO 80112-4030. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Hernandez-Koogle, Clarisa can be contacted via phone (720) 874-3500.Contact Information
Primary practice address
7375 S Potomac St
Centennial CO 80112-4030
Phone: (720) 874-3500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 0992202 | Colorado |
Profile Details
| NPI number | 1316305147 |
|---|---|
| LBN Legal business name | Hernandez-Koogle, Clarisa |
| Credentials | FNP-C, PMHNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2016 |
| Last updated | Dec 6th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316305147 | NPPES |
| Colorado | Other | APN0992202NP | DORA ADVANCE NURSE PRACTITIONER |
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