Individual
ASHLEY HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4131 N 24TH ST STE B102, PHOENIX, AZ 85016-6231
(480) 882-4545
(602) 409-0499
Mailing address
7500 N DREAMY DRAW DR STE 145, PHOENIX, AZ 85020-4668
(480) 882-4545
(602) 409-0499
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN175563
AZ
363LF0000X
Family Nurse Practitioner
Primary
276371
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
154151
—
AZ
Enumeration date
05/06/2022
Last updated
02/12/2024
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