Individual
PAMELA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MS
Contact information
Practice address
580 MOHAWK DR, BOULDER, CO 80303-3712
(303) 554-5178
(303) 554-5151
Mailing address
580 MOHAWK DR, BOULDER, CO 80303-3712
(303) 554-5178
(303) 554-5151
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
112798
CO
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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