Most Relevant Information
Provider Data
| NPI Number: | 1003380452 |
| Provider Name: | STEPHANIE D HERNANDEZ AGNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2200X |
| Specialty: | Nurse Practitioner |
| License Number: | 95010896 |
Most Important Dates
| Enumeration Date: | 01/18/2019 |
| Last Updated: | 01/25/2019 |
Provider Practice Location
9235 E BROADWAY ST
PLANADA
CA
953658088
Practice Location Phone/Fax
| Phone: | 2093820253 |
| Fax: | 2093822110 |
Provider Mailing Location
737 W CHILDS AVE
MERCED
CA
953416805
Provider Mailing Phone/Fax
| Phone: | 8666824842 |
| Fax: | 8774361488 |