# SIDDIQUI ROSE HERNANDEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235304031
- **Gender:** F
- **Credential:** CRNP PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | RN213648 | AZ | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 2010039446 | MO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP11103 | AZ | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | R205786 | MD | — |

## Other

- **Enumeration date:** 04/23/2008
- **Last updated:** 12/31/2019