SearchColorado101YA0400X

Amada Hernandez, CAC III

NPI 1356646905 · on the registry since 2011

Practice

Address
711 Barnes Ave
La Junta, CO 81050
Phone
(719) 336-6931
Fax
(719) 336-0478
Organisation at this address
Partnership For Progress Llc
Valley-Wide Health Systems, Inc.
Southeast Mental Health Services
Southeast Mental Health Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
96

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YA0400X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-12-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado