Individual provider · NPI-1
Adriana E Hernandez Calderon
Nurse Practitioner, Family · Hialeah, FL
NPI number1104631407
StatusActive
Last updated in NPPESFeb 12, 2025
Details
- NPI
- 1104631407
- Entity type
- Individual (NPI-1)
- Name
- Adriana E Hernandez Calderon
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 12, 2025
- Certification date
- Feb 12, 2025
- Last updated
- Feb 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | APRN11037608 | FL | Yes |
| 163WG0000X | Registered Nurse, General Practice | 9591081 | FL |
Practice location
2300 W 84th St Ste 101Hialeah, FL 33016-5771
Phone 786-299-2114
Mailing address
180 Ne 29th St Ph 2006Miami, FL 33137-5244
Phone 765-546-7704
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