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Individual

SUSAN L HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
149 SECTION LINE RD, SUITE A , C, E, HOT SPRINGS, AR 71913-6190
(501) 664-5860
(501) 664-0889
Mailing address
7 SHACKLEFORD WEST BLVD, LITTLE ROCK, AR 72211-3714
(501) 664-5860
(501) 664-0889

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
A003154
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
183467758
AR
Enumeration date
09/10/2008
Last updated
07/21/2022
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