Individual
LASHARON HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN PMHNP
Contact information
Practice address
649 AMITY RD, BETHANY, CT 06524-3091
(475) 262-9608
(475) 275-7247
Mailing address
649 AMITY RD, BETHANY, CT 06524-3091
(475) 262-9608
(475) 275-7247
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
12360
CT
Other
Enumeration date
05/19/2021
Last updated
11/17/2025
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