Individual
CAMELLA L HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3001 BROADMOOR BLVD NE, RIO RANCHO, NM 87144-2100
(505) 994-7000
Mailing address
3001 BROADMOOR BLVD NE, RIO RANCHO, NM 87144-2100
(505) 994-7397
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
58323
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58323
NMBON
NM
Enumeration date
12/03/2019
Last updated
03/18/2025
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