Individual
MISS GRISELDA HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1230 SAINT ANNE PL, SANTA ANA, CA 92707-2115
(714) 552-5593
Mailing address
1230 SAINT ANNE PL, SANTA ANA, CA 92707-2115
(714) 743-4206
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
95160424
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95028431
CA
Other
Enumeration date
04/28/2021
Last updated
07/29/2024
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