Individual
MRS. CYNTHIA I HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 W MORENO ST, PENSACOLA, FL 32501-2316
(850) 437-8275
(850) 437-8394
Mailing address
3950 W MADURA RD, GULF BREEZE, FL 32563-3562
(850) 501-0540
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9212219
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009982315
—
AL
05
—
306781500
—
FL
01
—
59173344
BCBS
AL
01
—
59173345
BCBS
AL
01
—
G3460
BCBS
FL
01
—
P00134583
PALMETTO GBA-RR MEDICARE
—
Enumeration date
05/12/2006
Last updated
11/13/2010
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