Individual
TRINA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
670 COUNTY ROAD A, GREEN LAKE, WI 54941
(920) 294-0100
(920) 294-0123
Mailing address
122 E COLLEGE AVE, APPLETON, WI 54911-5794
(920) 996-3264
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
8797-33
WI
Other
Enumeration date
10/26/2018
Last updated
04/17/2019
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