| Doctor Name: | FAYE HERNANDEZ |
| NPI Number: | 1073939914 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | R043216 |
| Business Practice Address: | 1000 Health Center Rd Kyle, SD - 57752 |
| Business Phone Number: | 6054552451 |
| Business Fax Number: | |
| Mailing Address: | 1000 Health Center Rd, Po Box 540 KYLE |
| State: | SD |
| Postal Code: | 57752 |
| Phone Number: | 6054552451 |
| Fax Number: | |
| NPI Enumeration Date: | 03/17/2014 |
| NPI Last Update Date: | 03/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP2201X |
| License Number: | R043216 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SD |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Ambulatory Care |
| Taxonomy Definition: | |