Provider Demographics
NPI:1265919880
Name:HERNANDEZ, MARIA ELENA (APRN, RN)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ELENA
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:APRN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 S BICENTENNIAL BLVD
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-7995
Mailing Address - Country:US
Mailing Address - Phone:956-971-0077
Mailing Address - Fax:956-971-0076
Practice Address - Street 1:500 S BICENTENNIAL BLVD
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501
Practice Address - Country:US
Practice Address - Phone:956-971-0077
Practice Address - Fax:956-971-0076
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-26
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP138245363LF0000X
TX705920163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse