Individual
YVETTE LISA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
934 S MAIN ST, LAYTON, UT 84041-7135
(801) 336-1845
Mailing address
934 S MAIN ST, LAYTON, UT 84041-7135
(801) 773-7060
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN168921
AZ
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
13838357-3102
UT
Other
Enumeration date
05/13/2021
Last updated
09/20/2024
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