Provider Demographics
NPI:1780986232
Name:HERNANDEZ, YANORY (CRNA)
Entity type:Individual
Prefix:
First Name:YANORY
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 N MCCOLL RD APT 1417
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-9128
Mailing Address - Country:US
Mailing Address - Phone:787-225-7723
Mailing Address - Fax:
Practice Address - Street 1:3801 N MCCOLL RD
Practice Address - Street 2:APT 1417
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-9105
Practice Address - Country:US
Practice Address - Phone:787-225-7723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-03
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX135868 TEMP367500000X
FLARNP9316181367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered