Provider Demographics
NPI:1154564425
Name:HERNANDEZ, CHRISTIE C (RN WHCNP BC)
Entity type:Individual
Prefix:MS
First Name:CHRISTIE
Middle Name:C
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:RN WHCNP BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1301 S COULTER ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79106-1763
Mailing Address - Country:US
Mailing Address - Phone:806-355-6330
Mailing Address - Fax:806-351-0950
Practice Address - Street 1:1301 S COULTER ST
Practice Address - Street 2:SUITE 300
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-1763
Practice Address - Country:US
Practice Address - Phone:806-355-6330
Practice Address - Fax:806-351-0950
Is Sole Proprietor?:No
Enumeration Date:2009-04-15
Last Update Date:2009-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX647858163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse