MEDICARE: ANA JULIA HERNANDEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker		KS

General Provider Information

NPI Number	:	1841158698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANA JULIA HERNANDEZ

Provider Business Mailing Address
First Line	:	4875 E HILLCREST RD LOT 60
Second Line	:
City	:	GARDEN CITY
State	:	KS
Zip	:	67846-8204
Country	:	US
Telephone Number	:	620-521-5226
Fax Number	:

Provider Business Practice Location Address
First Line	:	4875 E HILLCREST RD LOT 60
Second Line	:
City	:	GARDEN CITY
State	:	KS
Zip	:	67846-8204
Country	:	US
Telephone Number	:	620-521-5226
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “ ANA JULIA HERNANDEZ ” Practice Location

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