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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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 1649453234 NPPES
Washington MEDICAID 2012633

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