Individual
AMIE KRISTINE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN/CNM
Contact information
Practice address
1100 BEECH ST BLDG 7, NORMAL, IL 61761-1493
(309) 361-4974
(309) 322-6463
Mailing address
1100 BEECH ST BLDG 7, NORMAL, IL 61761-1493
(309) 361-4974
(309) 322-6463
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
209013271
IL
367A00000X
Advanced Practice Midwife
Primary
277.001273
IL
Other
Enumeration date
09/03/2015
Last updated
12/29/2021
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