Individual
ANGEL RENA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 N 10TH AVE, BROKEN BOW, NE 68822-1505
(308) 249-5276
(308) 249-5276
Mailing address
333 N 10TH AVE, BROKEN BOW, NE 68822-1505
(308) 249-5276
(308) 249-5276
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
102374
NE
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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