Individual
DR. DENISE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1104 HEALTHWAY DR, SALISBURY, MD 21804-4469
(410) 219-5483
(410) 219-5486
Mailing address
PO BOX 1978, SALISBURY, MD 21802-1978
(410) 749-1015
(410) 749-0654
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
DR-43822
CO
2084P0800X
Psychiatry Physician
Primary
D0094173
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591300
—
MD
05
—
73081744
—
CO
01
—
C804784
MEDICARE PTAN
CO
Enumeration date
08/08/2006
Last updated
06/07/2022
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