Individual
PATRICIA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1216 FARMINGTON AVE, SUITE 102, WEST HARTFORD, CT 06107-2672
(860) 561-1007
(860) 561-1222
Mailing address
1216 FARMINGTON AVE, SUITE 102, WEST HARTFORD, CT 06107-2672
(860) 561-1007
(860) 561-1222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
002763
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008039644
—
CT
01
—
500000218
MEDICAID GROUP
CT
01
—
C03887
MEDICARE GROUP
CT
Enumeration date
10/11/2006
Last updated
05/22/2013
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