Individual
NALLELY HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2497
(215) 214-1782
Mailing address
4998 MASTER ST, PHILADELPHIA, PA 19131-4521
(267) 439-1105
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
SPO22066
PA
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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