Provider Demographics
NPI:1962005157
Name:HERNANDEZ LOPEZ, YUNIA (APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:YUNIA
Middle Name:
Last Name:HERNANDEZ LOPEZ
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16074 DAWNVIEW DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624-7900
Mailing Address - Country:US
Mailing Address - Phone:786-486-4355
Mailing Address - Fax:
Practice Address - Street 1:16074 DAWNVIEW DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624-3362
Practice Address - Country:US
Practice Address - Phone:786-486-4355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-19
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9547860163W00000X
FL11024300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty