Individual
MRS. MARTHA WISEHART HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,CNS,BC
Contact information
Practice address
301 W 4TH ST, ADA, OK 74820-3411
(580) 436-2690
(580) 436-5539
Mailing address
PO BOX 189, ARDMORE, OK 73402-0189
(580) 319-7305
(580) 319-7305
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R0037249
OK
Other
Enumeration date
02/19/2007
Last updated
07/10/2023
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