Provider Demographics
NPI:1912086901
Name:HERNANDEZ, NEILA LUCIA (NP)
Entity Type:Individual
Prefix:MS
First Name:NEILA
Middle Name:LUCIA
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:NP
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Other - Credentials:
Mailing Address - Street 1:116 BUR OAK CT
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312-0450
Mailing Address - Country:US
Mailing Address - Phone:631-495-9687
Mailing Address - Fax:
Practice Address - Street 1:5324 MCFARLAND RD STE 200
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6864
Practice Address - Country:US
Practice Address - Phone:919-967-8052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF420722-1363LW0102X
NC5017079363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health