Individual provider · NPI-1

Tania Guadalupe Hernandez, DO

Family Medicine · Monroe, WA

NPI number1497918858
StatusActive
Last updated in NPPESAug 31, 2022

Details

NPI
1497918858
Entity type
Individual (NPI-1)
Name
Tania Guadalupe Hernandez
Credential
DO
Sex
Female
Sole proprietor
No
Enumeration date
Jul 7, 2008
Certification date
Aug 31, 2022
Last updated
Aug 31, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineOP60384409WAYes

Practice location

17707 West Main Street
Monroe, WA 98272-4127

Phone 360-428-2500

Mailing address

17707 W Main St Fl 1
Monroe, WA 98272-1967

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine providers in Monroe, WA