Individual
LOREN EVELYN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
142 BROADWAY, CLARK, NJ 07066-1852
(908) 367-1811
Mailing address
142 BROADWAY, CLARK, NJ 07066-1852
(908) 367-1811
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
26NR16528100
NJ
Other
Enumeration date
10/31/2021
Last updated
10/31/2021
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