Individual
ANGELA MARIE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 BLUEGRASS AVE, LOUISVILLE, KY 40215-1161
(502) 361-6000
Mailing address
1850 BLUEGRASS AVE, LOUISVILLE, KY 40215-1161
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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