Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00067900 | NJ |
N | 363LG0600X | Nurse Practitioner - Gerontology | 26NJ00679700 | NJ |
NPI | 1013450535 |
---|---|
Provider Name | Denise C Hernandez |
First Address | Hamilton, NJ 08690-3542 |
Second Address | Hamilton, NJ 08690-3542 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2016 |
Last Update Date | 01/12/2016 |