Provider Demographics
NPI:1235840232
Name:HERNANDEZ CABEZAS, ANIA (APRN)
Entity Type:Individual
Prefix:
First Name:ANIA
Middle Name:
Last Name:HERNANDEZ CABEZAS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7642 TAHITI LN APT 102
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-4918
Mailing Address - Country:US
Mailing Address - Phone:561-631-4127
Mailing Address - Fax:
Practice Address - Street 1:7642 TAHITI LN APT 102
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-4918
Practice Address - Country:US
Practice Address - Phone:561-631-4127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-09
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11023320363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily