Individual
DR. RUTH A HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, DNP, AANP-C
Contact information
Practice address
101 PEABODY DR, WEBSTER, SD 57274-1061
(605) 345-3336
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
CP001875
SD
363LF0000X
Family Nurse Practitioner
Primary
CP001875
SD
Other
Enumeration date
10/30/2020
Last updated
03/01/2021
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