Individual provider · Type 1 NPI

Andrea Hercules, CPNP

Pediatric Nurse Practitioner · New York, NY

NPI number 1194190249 Active

Practice location

622 W 168th St, Vc 10
New York, NY 10032-3720

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XF382582 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1194190249

Andrea Hercules, CPNP's National Provider Identifier is 1194190249, issued on Dec 1, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Dec 1, 2015.