Healthcare Provider Details

I. General information

NPI: 1841158698
Provider Name (Legal Business Name): ANA JULIA HERNANDEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 W 4TH ST
SCOTT CITY KS
67871-1168
US

IV. Provider business mailing address

PO BOX 1905
GARDEN CITY KS
67846-1905
US

V. Phone/Fax

Practice location:
  • Phone: 620-872-5338
  • Fax:
Mailing address:
  • Phone: 620-275-0644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number14938
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: