Individual
DENISE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
18166 W CAMPBELL AVE, GOODYEAR, AZ 85395-7763
(602) 708-3715
Mailing address
890 W ELLIOT RD, STE 103, GILBERT, AZ 85233-5102
(623) 428-9194
(623) 594-0450
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP7638
AZ
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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