Individual
DENNICE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
25045 DUNHAM AVENUE, VENETA, OR 97487-0819
(541) 935-2035
(541) 935-6608
Mailing address
PO BOX 819, VENETA, OR 97487-0819
(541) 935-2035
(541) 935-6608
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
090006100N3ANP PP
OR
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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