Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | APN.0996809-NP | CO |
N | 363LF0000X | Nurse Practitioner - Family Medicine | APN.0996809-NP | CO |
NPI | 1003571241 |
---|---|
Provider Name | Allison Hernquist |
First Address | Greenwood Village, CO 80121-2142 |
Second Address | Aurora, CO 80045-2541 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2021 |
Last Update Date | 26/01/2022 |