Individual
LISANDRA HERNANDEZ CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3661 S MIAMI AVE STE 503, MIAMI, FL 33133-4200
(305) 856-1082
(305) 459-1926
Mailing address
3661 S MIAMI AVE STE 503, MIAMI, FL 33133-4200
(305) 856-1082
(305) 459-1926
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11009544
FL
363L00000X
Nurse Practitioner
RN9444292
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11009544
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112145600
—
FL
05
—
115905200
—
FL
Enumeration date
07/31/2020
Last updated
01/27/2023
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