Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | ARNP9280139 | FL |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APRN9280139 | FL |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | ARNP9280139 | FL |
N | 363LF0000X | Nurse Practitioner - Family Medicine | APRN9280139 | FL |
NPI | 1407195787 |
---|---|
Provider Name | Ms. Cynthia Scarlett Hernandez |
First Address | Miami, FL 33150-1119 |
Second Address | Miami, FL 33136-1003 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2013 |
Last Update Date | 21/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
023907400 | (05) | FL |
MM054 | MEDICARE (01) | FL |