Provider Demographics
NPI:1760365399
Name:HERNANDEZ-ORDUNA, ANGEL (MS, ED)
Entity type:Individual
Prefix:
First Name:ANGEL
Middle Name:
Last Name:HERNANDEZ-ORDUNA
Suffix:
Gender:F
Credentials:MS, ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:447 S COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:OSCEOLA
Mailing Address - State:AR
Mailing Address - Zip Code:72370-4207
Mailing Address - Country:US
Mailing Address - Phone:870-563-0199
Mailing Address - Fax:870-563-0103
Practice Address - Street 1:447 S COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:OSCEOLA
Practice Address - State:AR
Practice Address - Zip Code:72370-4207
Practice Address - Country:US
Practice Address - Phone:870-563-0199
Practice Address - Fax:870-563-0103
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental TherapistGroup - Single Specialty