Provider Demographics
NPI:1639947062
Name:HERNANDEZ, YENI (FNP-BC,BSN,RN)
Entity Type:Individual
Prefix:
First Name:YENI
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:FNP-BC,BSN,RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8574 SW 208TH ST
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-3305
Mailing Address - Country:US
Mailing Address - Phone:786-709-3597
Mailing Address - Fax:
Practice Address - Street 1:8574 SW 208TH ST
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-3305
Practice Address - Country:US
Practice Address - Phone:786-709-3597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-14
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11030193363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily