Individual
MS. VANESSA LEE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-2500
Mailing address
622 WEST 168TH STREET, NEW YORK, NY 10032
(917) 456-2061
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F342952
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404642
NY
Other
Enumeration date
05/07/2018
Last updated
05/08/2024
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