Hernando, Henedine Clark
Hernando, Henedine Clark is an individual health care provider with primary practice located at 1901 S Union Ave A221, Tacoma WA 98405-1702. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hernando, Henedine Clark can be contacted via phone (253) 459-6231.Contact Information
Primary practice address
1901 S Union Ave A221
Tacoma WA 98405-1702
Phone: (253) 459-6231
Fax: (253) 459-6858
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP60212754 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | AP60212754 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP60212754 | Washington |
Profile Details
| NPI number | 1649453234 |
|---|---|
| LBN Legal business name | Hernando, Henedine Clark |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 6th, 2007 |
| Last updated | Nov 2nd, 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 | 1649453234 | NPPES |
| Washington | MEDICAID | 2012633 |
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