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NPI Code Detail

MEDICARE: KAREN HERNANDEZ

MEDICARE: KAREN HERNANDEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker2024251MI
2374J00000XDoula

General Provider Information

NPI Number : 1932989837
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN HERNANDEZ
Provider Business Mailing Address
First Line : 3702 CLIPPERT ST
Second Line :
City : DETROIT
State : MI
Zip : 48210-2842
Country : US
Telephone Number : 734-450-4074
Fax Number :
Provider Business Practice Location Address
First Line : 5635 W FORT ST
Second Line :
City : DETROIT
State : MI
Zip : 48209-3154
Country : US
Telephone Number : 313-644-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2023
Last Update Date : 06/11/2026

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Directions to “ KAREN HERNANDEZ ” Practice Location

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