Individual
STEPHANIE ANNE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1280 CORONA POINTE CT, SUITE 112, CORONA, CA 92879-1770
(951) 898-2828
(951) 898-2811
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
(626) 775-3514
(626) 218-5310
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
15141
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
15141
CA
Other
Enumeration date
05/02/2008
Last updated
11/27/2023
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