Healthcare Provider Details

I. General information

NPI: 1417325473
Provider Name (Legal Business Name): RAMONA HERNANDEZ WYATT RN, MSN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2015
Last Update Date: 11/15/2025
Certification Date: 11/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 PINE ST
ABILENE TX
79601-2432
US

IV. Provider business mailing address

1900 PINE ST
ABILENE TX
79601-2432
US

V. Phone/Fax

Practice location:
  • Phone: 325-670-2151
  • Fax: 325-670-3303
Mailing address:
  • Phone: 325-670-2151
  • Fax: 325-670-3303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAP1289987
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP128997
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: