Individual
WHITNEY HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1750 E GROVERS AVE, PHOENIX, AZ 85022-8102
(602) 449-5503
Mailing address
1639 W NIDO AVE, MESA, AZ 85202-7468
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
253944
AZ
Other
Enumeration date
09/29/2021
Last updated
08/10/2022
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