Individual provider · Type 1 NPI

Nellie Camille Hernandez, MD

Student in an Organized Health Care Education/Training Program · Salt Lake City, UT

NPI number 1134041981 Active

Practice location

30 N 1900 E
Salt Lake City, UT 84132-0002

Mailing address

761 E 4125 S
Murray, UT 84107-3034

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1134041981

Nellie Camille Hernandez, MD's National Provider Identifier is 1134041981, issued on Jul 25, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jul 25, 2026.