Provider Demographics
NPI:1689899130
Name:HERNANDEZ, OLGA C (RN, MSN)
Entity Type:Individual
Prefix:MS
First Name:OLGA
Middle Name:C
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 GRIFFIN ST
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-4806
Mailing Address - Country:US
Mailing Address - Phone:732-254-2070
Mailing Address - Fax:609-258-1088
Practice Address - Street 1:UNIVERSITY HEALTH SERVICES PRINCETON UNIVERSITY
Practice Address - Street 2:WASHINGTON RD
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08544-0001
Practice Address - Country:US
Practice Address - Phone:609-258-2418
Practice Address - Fax:609-258-1088
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN07366100363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ25NN07366100OtherNURSING LICENSE AND NP CE
NJMH0542402OtherDEA REGISTRATION NUMBER