Provider Demographics
NPI:1073879458
Name:HERNANDEZ, LINDA LORENA (CNA)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:LORENA
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:LORENA
Other - Last Name:HERNANDEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMRT
Mailing Address - Street 1:12001 METRIC BLVD APT 103
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78758-8650
Mailing Address - Country:US
Mailing Address - Phone:830-488-5006
Mailing Address - Fax:
Practice Address - Street 1:12001 METRIC BLVD APT 103
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758-8650
Practice Address - Country:US
Practice Address - Phone:830-488-5006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-10
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide