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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316305147 NPPES
Colorado Other APN0992202NP DORA ADVANCE NURSE PRACTITIONER

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