Individual
MS. INGRID AGNES HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
105 N 32ND AVE, HOLLYWOOD, FL 33021-7019
(305) 877-4350
Mailing address
105 N 32ND AVE, HOLLYWOOD, FL 33021-7019
(305) 877-4350
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
RN9286652
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11019603
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2020
Last updated
05/13/2022
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