Doctor Name: | CHRISTINE HERNANDEZ |
NPI Number: | 1598112435 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 812896 |
Business Practice Address: | 310 E Lisa Dr Chaparral, NM - 880817927 |
Business Phone Number: | 5758826101 |
Business Fax Number: | |
Mailing Address: | Po Box 70, ANTHONY |
State: | NM |
Postal Code: | 880210070 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/20/2016 |
NPI Last Update Date: | 05/20/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 812896 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |