Individual provider · Type 1 NPI

Siddiqui Rose Hernandez, CRNP PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Tempe, AZ

NPI number 1235304031 Active

Practice location

123 E Baseline Rd Ste D104
Tempe, AZ 85283-1291

Call (480) 718-0568 Map

Mailing address

PO Box 17779
Phoenix, AZ 85011-0779

Other practice locations

  • 4500 Forbes Blvd, Suite 200 E4, Lanham, MD 20706-6312 · (443) 741-8920
  • 2802 E District St, Tucson, AZ 85714-2081 · (520) 301-2400

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse 163WP0808XRN213648 (AZ)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X2010039446 (MO)
Psychiatric/Mental Health Nurse Practitioner 363LP0808XR205786 (MD)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAP11103 (AZ)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1235304031

Siddiqui Rose Hernandez, CRNP PMHNP-BC's National Provider Identifier is 1235304031, issued on Apr 23, 2008. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tempe, AZ. The record was last updated on Dec 31, 2019.