Provider Demographics
NPI:1790285518
Name:HERNANDEZ, CLAUDIA (LVN)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 BUCKINGHAM RD APT 724
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-5672
Mailing Address - Country:US
Mailing Address - Phone:214-563-2319
Mailing Address - Fax:
Practice Address - Street 1:540 BUCKINGHAM RD APT 724
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-5672
Practice Address - Country:US
Practice Address - Phone:214-563-2319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-19
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX336913164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse