NPI 1083238679
Isabella Adrianna Hernandez
Practice location
- Address
- 875 Perimeter Dr, Moscow, ID 83844-9803
- Phone
- (208) 885-6111
- Mailing address
- 2213 S Michigan Ave, Caldwell, ID 83605-5549
Registered specialties (2)
Student in an Organized Health Care Education/Training Program
Primary
Athletic Trainer
Registry record
- NPI
- 1083238679
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 May 2020
- Record last updated
- 30 May 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.