Provider Demographics
NPI:1255039236
Name:HERNANDEZ, VERONICA (MSN APRN FNP-C)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:MSN APRN FNP-C
Other - Prefix:
Other - First Name:VERONICA
Other - Middle Name:RODRIGUEZ
Other - Last Name:HERNANDEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:500 W OVERLAND AVE
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79901-1085
Mailing Address - Country:US
Mailing Address - Phone:844-215-2443
Mailing Address - Fax:
Practice Address - Street 1:500 W OVERLAND AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79901-1085
Practice Address - Country:US
Practice Address - Phone:844-215-2443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-20
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1110912363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily