Individual
NICOLE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
213 W CALUMET ST APT 5, APPLETON, WI 54915-4964
(920) 810-2921
Mailing address
213 W CALUMET ST APT 5, APPLETON, WI 54915-4964
(920) 810-2921
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
197992-30
WI
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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