Individual
AMANDA LAUREN HING-HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13161 JEFFERSON ST, LE GRAND, CA 95333-9766
(209) 389-1900
(209) 389-1907
Mailing address
737 W CHILDS AVE, MERCED, CA 95341-6805
(209) 383-1848
(209) 383-1296
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP 19489
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP 19489
CA LICENSE
CA
01
—
RN 756696
RN LICENSE
CA
Enumeration date
08/24/2010
Last updated
12/15/2011
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