Provider Demographics
NPI:1033800370
Name:HERNANDEZ, ARIKA E (APNP)
Entity Type:Individual
Prefix:MRS
First Name:ARIKA
Middle Name:E
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 W GRANGE AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53221-4237
Mailing Address - Country:US
Mailing Address - Phone:920-242-4505
Mailing Address - Fax:
Practice Address - Street 1:2020 W GRANGE AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53221-4237
Practice Address - Country:US
Practice Address - Phone:920-242-4505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-17
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI13974-33363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health