Nellie Camille Hernandez, MD
Student in an Organized Health Care Education/Training Program in Salt Lake City, UT. Individual provider (NPI-1).
NPI number1134041981
StatusActive
Last updated in NPPESJul 25, 2026
Details
- NPI
- 1134041981
- Entity type
- Individual (NPI-1)
- Name
- Nellie Camille Hernandez
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2026
- Certification date
- Jul 25, 2026
- Last updated
- Jul 25, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | UT | Yes |
Practice location
30 N 1900 ESalt Lake City, UT 84132-0002
Phone 801-581-7498
Mailing address
761 E 4125 SMurray, UT 84107-3034
Phone 435-899-0963
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