Individual
STEPHANIE HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 N APACHE DR, CHANDLER, AZ 85224-2726
(219) 916-0619
Mailing address
77 S DOBSON RD, CHANDLER, AZ 85224-6289
(480) 814-0266
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28185320A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
284882
AZ
Other
Enumeration date
01/11/2017
Last updated
12/29/2022
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