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NPI Code Detail

MEDICARE: JOHN FREDERICK HERNANDEZ CRNA

MEDICARE: JOHN FREDERICK HERNANDEZ CRNA
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
1367500000XCertified Registered Nurse AnesthetistRN128981TN
2367500000XCertified Registered Nurse AnesthetistAP119967TX
3163W00000XRegistered NurseRN816792TX
4367500000XCertified Registered Nurse Anesthetist816792TX
5367500000XCertified Registered Nurse AnesthetistAPN13953TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00664729OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24193673OTHERTNBLUE CROSS BLUE SHIELD OF TN

General Provider Information

NPI Number : 1992956098
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN FREDERICK HERNANDEZ CRNA
Provider Business Mailing Address
First Line : 116 AGNES RD # 200
Second Line :
City : KNOXVILLE
State : TN
Zip : 37919-6306
Country : US
Telephone Number : 615-345-6368
Fax Number :
Provider Business Practice Location Address
First Line : 2400 UNSER BLVD SE
Second Line :
City : RIO RANCHO
State : NM
Zip : 87124-3392
Country : US
Telephone Number : 505-253-7878
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2008
Last Update Date : 01/25/2024

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