Sueellen Hernandez, LVN
Individual provider Active NPI Licensed Vocational Nurse · Brady, TX
NPI 1629575162 · NPPES record last updated Apr 11, 2018
Key facts
- NPI
- 1629575162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 212351 (TX)
- Practice address
- 803 E 11TH St
Brady, TX 76825-5912 - Phone
- (325) 240-9068
- NPI assigned
- Apr 11, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 212351 | TX | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 212351 | TX | Yes |
Addresses
Primary practice location
803 E 11TH St
Brady, TX 76825-5912
Mailing address
803 E 11TH St
Brady, TX 76825-5912
Phone (325) 240-9068
Other providers in Brady, TX
- Heart of Texas Healthcare System
- Heart of Texas Healthcare System
- Heart of Texas Healthcare System
- Heart of Texas Medical Associates, PA
- Mark L Hedlund
- Kevin Daniel Hodnett
- Jana Gay Holubec
- Suzanne Holubec
- Kimberly Regina Huseman
- Susan D. Jolliff
All providers in Brady, TX · Licensed Vocational Nurse in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.