Provider Demographics
NPI:1740981331
Name:HERNANDEZ, INES EILEEN
Entity type:Individual
Prefix:
First Name:INES
Middle Name:EILEEN
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1526 RIVER DR APT L303
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33603-3022
Mailing Address - Country:US
Mailing Address - Phone:813-894-4036
Mailing Address - Fax:
Practice Address - Street 1:1526 RIVER DR APT L303
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33603-3022
Practice Address - Country:US
Practice Address - Phone:813-894-4036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula