Doctor Name: | ELIZABETH MARIE HERNANDEZ |
NPI Number: | 1003145954 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, MSN, WHCNP |
License Number: | 695964 |
Business Practice Address: | 5411 Fredericksburg Road #200 San Antonio, TX - 78229 |
Business Phone Number: | 2106142209 |
Business Fax Number: | |
Mailing Address: | 5414 Fredericksburg Rd Ste 200, SAN ANTONIO |
State: | TX |
Postal Code: | 782293646 |
Phone Number: | 7132316445 |
Fax Number: | |
NPI Enumeration Date: | 12/23/2009 |
NPI Last Update Date: | 11/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP1700X |
License Number: | 695964 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Perinatal |
Taxonomy Definition: |