Individual
CHRISTY DANIELLE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 WALLACE BLVD, AMARILLO, TX 79106-1741
(806) 351-4152
Mailing address
25600 AUTUMN RIDGE DR, CANYON, TX 79015-1259
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP136302
TX
363LF0000X
Family Nurse Practitioner
AP136302
FL
363LF0000X
Family Nurse Practitioner
Primary
AP136302
TX
Other
Enumeration date
01/29/2018
Last updated
03/29/2024
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