Provider Demographics
NPI:1619353141
Name:HERNANDEZ, LIGIA (CNA)
Entity Type:Individual
Prefix:
First Name:LIGIA
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 WOODLAWN DR
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-2158
Mailing Address - Country:US
Mailing Address - Phone:407-283-5934
Mailing Address - Fax:
Practice Address - Street 1:709 WOODLAWN DR
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-2158
Practice Address - Country:US
Practice Address - Phone:407-283-5934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-06
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCNA276524376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide