Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 11011955 | FL |
N | 363LP0200X | Nurse Practitioner - Pediatrics | RN701356 | GA |
NPI | 1013005669 |
---|---|
Provider Name | Mrs. Erin Hernandez |
First Address | Alpharetta, GA 30005-8335 |
Second Address | Miami, FL 33155-3009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 16/03/2021 |