IndividualActive
Antonia Hernandez, CPNP, RN
NPI 1306215926 · Pediatric Nurse Practitioner · Gallup, NM
Provider details
- NPI number
- 1306215926
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP, RN
- Sex
- Female
- Sole proprietor
- No
- License
- R67661 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
2111 College Dr
Gallup, NM 87301-5600
Phone: (505) 863-1820
Approximate (ZIP-level) locationGet directions
Mailing address
2111 College Dr
Gallup, NM 87301-5600
Additional practice locations (1)
- 516 E Nizhoni BlvdGallup, NM 87301-5748Phone: (505) 722-1000
Registry dates
- Enumerated
- 2015-09-24
- Last updated
- 2020-06-03
- Certified
- 2020-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.