Individual
BRYAN MICHAEL HERNANDEZ
Active
Individual
BRYAN MICHAEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
041433768
IL
363LF0000X
Family Nurse Practitioner
Primary
209-023781
IL
Other
Enumeration date
05/19/2021
Last updated
04/22/2022
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