Hernandez, Elaine

Hernandez, Elaine is an sole proprietor health care provider with primary practice located at Brooke Army Medical Center 3551 Roger Brooke Road, Fort Sam Houston TX 78234-4504. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Hernandez, Elaine can be contacted via phone (210) 916-8400.

Contact Information

Primary practice address
Brooke Army Medical Center 3551 Roger Brooke Road Fort Sam Houston TX 78234-4504
Phone: (210) 916-8400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1325-033 Wisconsin

Profile Details

NPI number 1841492600
LBN Legal business name Hernandez, Elaine
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2007
Last updated May 13th, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841492600 NPPES
Wisconsin MEDICAID 10004769

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