Individual
JOHN FREDERICK HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2400 UNSER BLVD SE, RIO RANCHO, NM 87124-3392
(505) 253-7878
Mailing address
116 AGNES RD # 200, KNOXVILLE, TN 37919-6306
(615) 345-6368
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN816792
TX
367500000X
Certified Registered Nurse Anesthetist
816792
TX
367500000X
Certified Registered Nurse Anesthetist
AP119967
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
APN13953
TN
367500000X
Certified Registered Nurse Anesthetist
RN128981
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1509815
—
TN
01
—
4193673
BLUE CROSS BLUE SHIELD OF TN
TN
01
—
P00664729
RAILROAD MEDICARE
—
Enumeration date
10/07/2008
Last updated
01/25/2024
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