MEDICARE: MARIANA 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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1206772	TX

General Provider Information

NPI Number	:	1982573952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIANA HERNANDEZ

Provider Business Mailing Address
First Line	:	1400 N. EL PASO
Second Line	:	SUITE A
City	:	EL PASO
State	:	TX
Zip	:	79902
Country	:	US
Telephone Number	:	915-533-5550
Fax Number	:	915-544-0999

Provider Business Practice Location Address
First Line	:	1400 N. EL PASO
Second Line	:	SUITE A
City	:	EL PASO
State	:	TX
Zip	:	79902
Country	:	US
Telephone Number	:	915-533-5550
Fax Number	:	915-544-0999

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2025
Last Update Date	:	05/19/2026

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Directions to “ MARIANA HERNANDEZ ” Practice Location

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