Individual provider · Type 1 NPI
Crystal Lee Hernandez, N.P.
Adult Health Nurse Practitioner · Howard Beach, NY
NPI number
1316330103
Active
Practice location
15641 79th St
Howard Beach, NY 11414-2502
Mailing address
34 Roosevelt Ave, Unit B
Carteret, NJ 07008-2417
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 306906 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1316330103
Crystal Lee Hernandez, N.P.'s National Provider Identifier is 1316330103, issued on Mar 18, 2015. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Howard Beach, NY. The record was last updated on Oct 11, 2016.