NPI 1104164417

Marissa J Hernandez, CRNA

Practitioner Certified Registered Nurse Anesthetist Wausau, WI

Practice location

Address: 411 Westwood Dr, Wausau, WI 54401
Phone: (715) 847-2558
Fax: (715) 847-2557
Mailing address: 411 Westwood Dr, Wausau, WI 54401-4152

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 8629-33 (WI)

Other Nurse Anesthetist, Certified Registered providers in Wisconsin →

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 0001241907 (VA)

Registry record

NPI: 1104164417
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jan 2013
Record last updated: 21 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.