Individual
PRISCILA EURENIA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6622 N 91ST AVE STE 200, GLENDALE, AZ 85305-2569
(623) 547-4668
(623) 535-7869
Mailing address
6622 N 91ST AVE STE 220, GLENDALE, AZ 85305-2569
(027) 596-8836
(602) 224-3315
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
247112
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
247112
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083399
—
AZ
Enumeration date
09/04/2020
Last updated
04/30/2026
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