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Individual

TIFFANY HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
1551 MONTANA AVE, EL PASO, TX 79902-5668
(915) 747-3510
Mailing address
PO BOX 9242, EL PASO, TX 79995-9242

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1113825
TX

Other

Enumeration date
03/27/2023
Last updated
06/07/2023
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