Individual
BRYAN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
145 ROSEMARY ST STE D, NEEDHAM, MA 02494-3259
(781) 453-8525
Mailing address
145 ROSEMARY ST STE D, NEEDHAM, MA 02494-3259
(781) 453-8525
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2297942
MA
363LF0000X
Family Nurse Practitioner
Primary
RN2297942
MA
Other
Enumeration date
01/19/2022
Last updated
02/17/2022
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