Individual
MARIANA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
980 S WATSON RD STE 103, BUCKEYE, AZ 85326-3433
(623) 474-6125
Mailing address
12923 W FLYNN LN, GLENDALE, AZ 85307-1927
(623) 337-1621
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RNP281560
AZ
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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