Provider Demographics
NPI:1932286606
Name:HERMES, AMY D (BSN, RNC, WHNP)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:D
Last Name:HERMES
Suffix:
Gender:F
Credentials:BSN, RNC, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2078
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-6156
Mailing Address - Country:US
Mailing Address - Phone:940-627-2409
Mailing Address - Fax:940-626-4579
Practice Address - Street 1:2451 S FM 51
Practice Address - Street 2:SUITE 200
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-3858
Practice Address - Country:US
Practice Address - Phone:940-627-2409
Practice Address - Fax:940-626-4579
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP115257363LW0102X
TX641302363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8127NTOtherBCBSTX
TX356518601Medicaid
TX356518601Medicaid