Hernandez, Sandra

Hernandez, Sandra is an individual health care provider with primary practice located at 6200 I-40 W , Amarillo TX 79106-2512. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Hernandez, Sandra can be contacted via phone (806) 354-9764.

Contact Information

Primary practice address
6200 I-40 W Amarillo TX 79106-2512
Fax: (806) 355-2728
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 696817 Texas

Profile Details

NPI number 1033429212
LBN Legal business name Hernandez, Sandra
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2010
Last updated Apr 7th, 2011 - about 13 years 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 1033429212 NPPES
Texas MEDICAID 217391601

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