Provider Demographics
NPI:1073734059
Name:HERNANDEZ, ELINDA M (RN-FNP)
Entity Type:Individual
Prefix:
First Name:ELINDA
Middle Name:M
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:RN-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 N JOSEY LN
Mailing Address - Street 2:STE 100
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-6146
Mailing Address - Country:US
Mailing Address - Phone:972-867-5888
Mailing Address - Fax:
Practice Address - Street 1:6300 STONEWOOD DR
Practice Address - Street 2:SUITE 202
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-5280
Practice Address - Country:US
Practice Address - Phone:972-867-5888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX509812363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8K7006Medicare PIN