Doctor Name: | SHERRI LYNN HERNANDEZ |
NPI Number: | 1023370954 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 28146648A |
Business Practice Address: | 8560 Broadway Merrillville, IN - 464107032 |
Business Phone Number: | 2197939248 |
Business Fax Number: | 2197939387 |
Mailing Address: | 8560 Broadway, MERRILLVILLE |
State: | IN |
Postal Code: | 464107032 |
Phone Number: | 2197939248 |
Fax Number: | 2197939387 |
NPI Enumeration Date: | 06/15/2012 |
NPI Last Update Date: | 06/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 28146648A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |