Most Relevant Information
Provider Data
| NPI Number: | 1003514886 |
| Provider Name: | MARISELA HERNANDEZ FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 11024717 |
Most Important Dates
| Enumeration Date: | 02/21/2023 |
| Last Updated: | 02/21/2023 |
Provider Practice Location
4924 NW 5TH ST
MIAMI
FL
331263405
Practice Location Phone/Fax
| Phone: | 7869756125 |
| Fax: |
Provider Mailing Location
4924 NW 5TH ST
MIAMI
FL
331263405
Provider Mailing Phone/Fax
| Phone: | 7869756125 |
| Fax: |