Individual
GRETTEL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8900 N KENDALL DR, MIAMI, FL 33176-2197
(786) 596-1960
Mailing address
15409 SW 138TH PL, MIAMI, FL 33177-1157
(786) 365-6811
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9357200
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
11005565
FL
Other
Enumeration date
12/18/2019
Last updated
02/19/2020
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