Individual
MIKAELA MAREE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
950 E BOGARD RD STE 103, WASILLA, AK 99654-7184
(073) 522-8809
Mailing address
7091 N URSA MINOR CIR, WASILLA, AK 99654-1027
(206) 715-1399
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
220899
AK
Other
Enumeration date
04/02/2024
Last updated
03/10/2025
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