Provider Demographics
NPI:1982845046
Name:HERNANDEZ, YOSLAISI (APRN)
Entity Type:Individual
Prefix:
First Name:YOSLAISI
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2220 N 46TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33021-4148
Mailing Address - Country:US
Mailing Address - Phone:178-636-6346
Mailing Address - Fax:305-757-4465
Practice Address - Street 1:2220 N 46TH AVE
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-4148
Practice Address - Country:US
Practice Address - Phone:178-636-6346
Practice Address - Fax:305-757-4465
Is Sole Proprietor?:No
Enumeration Date:2009-03-18
Last Update Date:2023-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
FL9334229363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No104100000XBehavioral Health & Social Service ProvidersSocial Worker