Individual
FIDEL HERNANDEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
2805 NE 129TH ST, VANCOUVER, WA 98686-3324
(360) 356-1890
(360) 245-0120
Mailing address
2805 NE 129TH ST, VANCOUVER, WA 98686-3324
(360) 356-1890
(360) 245-0120
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61085876
WA
Other
Enumeration date
11/15/2019
Last updated
05/28/2025
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