Individual
BRYAN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-4000
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-4000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP028221
PA
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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