Healthcare Provider Details

I. General information

NPI: 1841125069
Provider Name (Legal Business Name): KATHERINE YADHIRA HERNANDEZ MELENDEZ FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7335 VAN NUYS BLVD STE 117
VAN NUYS CA
91405-1951
US

IV. Provider business mailing address

15755 SATICOY ST APT 405
VAN NUYS CA
91406-3183
US

V. Phone/Fax

Practice location:
  • Phone: 747-266-2666
  • Fax: 818-387-8116
Mailing address:
  • Phone: 747-266-2666
  • Fax: 818-387-8116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberNP95039312
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: