| Doctor Name: | ANA IVIS HERNANDEZ |
| NPI Number: | 1508221359 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | ARNP9378465 |
| Business Practice Address: | 315 S W C Owen Ave Clewiston, FL - 334403637 |
| Business Phone Number: | 8639837813 |
| Business Fax Number: | 5614729693 |
| Mailing Address: | 4450 S Tiffany Dr, WEST PALM BEACH |
| State: | FL |
| Postal Code: | 334073241 |
| Phone Number: | 5618449443 |
| Fax Number: | 5618441013 |
| NPI Enumeration Date: | 12/21/2015 |
| NPI Last Update Date: | 04/14/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP9378465 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |