Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086X0206X | Surgical Oncologist | RN.1631067 | CO |
Y | 363LA2200X | Nurse Practitioner - Adult Health | APN.0996952-NP | CO |
NPI | 1427726934 |
---|---|
Provider Name | Shon Barbara Hernandez |
First Address | Loveland, CO 80538-9004 |
Second Address | Loveland, CO 80538-9004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2021 |
Last Update Date | 04/10/2021 |