Herndon, Brian N

Herndon, Brian N is an individual health care provider with primary practice located at 406 S 30Th Ave Ste 202, Yakima WA 98902-3713. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Herndon, Brian N can be contacted via phone (509) 972-1051.

Contact Information

Primary practice address
406 S 30Th Ave Ste 202 Yakima WA 98902-3713
Phone: (509) 972-1051
Fax: (509) 972-4166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AP30007249 Washington

Profile Details

NPI number 1417966839
LBN Legal business name Herndon, Brian N
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Dec 17th, 2007 - about 17 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 1417966839 NPPES
Washington Other P00282250 RAILROAD MEDICARE
Washington MEDICAID 9647645 RAILROAD MEDICARE

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