Hernandez, Elaine
Hernandez, Elaine is an sole proprietor health care provider with primary practice located at Brooke Army Medical Center 3551 Roger Brooke Road, Fort Sam Houston TX 78234-4504. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Hernandez, Elaine can be contacted via phone (210) 916-8400.Contact Information
Primary practice address
Brooke Army Medical Center 3551 Roger Brooke Road
Fort Sam Houston TX 78234-4504
Phone: (210) 916-8400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 1325-033 | Wisconsin |
Profile Details
| NPI number | 1841492600 |
|---|---|
| LBN Legal business name | Hernandez, Elaine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 4th, 2007 |
| Last updated | May 13th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841492600 | NPPES |
| Wisconsin | MEDICAID | 10004769 |
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