Individual
PEDRO AUGUSTO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
151 EVERETT AVE, CHELSEA, MA 02150-1807
(617) 884-8300
Mailing address
632 BLUE HILL AVE, BOSTON, MA 02121-3213
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2292152
MA
363L00000X
Nurse Practitioner
Primary
RN2292152
MA
363LF0000X
Family Nurse Practitioner
RN2292152
MA
Other
Enumeration date
04/29/2015
Last updated
02/10/2024
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