Individual
DIANNE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2735 OVERCREST LN, SAPULPA, OK 74066-8442
(918) 264-6395
Mailing address
2735 OVERCREST LN, SAPULPA, OK 74066-8442
(918) 264-6395
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
218368
OK
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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