Individual
DAWNA RAE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7091 E SPEEDWAY BLVD, TUCSON, AZ 85710-1241
(520) 721-5777
Mailing address
12900 PARK PLAZA DR STE 150, CERRITOS, CA 90703-9329
(562) 677-2409
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN171925
AZ
363LF0000X
Family Nurse Practitioner
Primary
247649
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
247649
APRN
AZ
01
—
RN171925
AZRN
AZ
Enumeration date
09/12/2020
Last updated
05/14/2024
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