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NPI Code Detail

MEDICARE: ANA MARIA HERNANDEZ L.P.A

MEDICARE: ANA MARIA HERNANDEZ L.P.A
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
1103TC1900XCounseling Psychologist3386NC

General Provider Information

NPI Number : 1396059143
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA MARIA HERNANDEZ L.P.A
Provider Business Mailing Address
First Line : 4705 UNIVERSITY DR BLDG 700
Second Line :
City : DURHAM
State : NC
Zip : 27707-3489
Country : US
Telephone Number : 919-237-1337
Fax Number : 919-237-1625
Provider Business Practice Location Address
First Line : 4705 UNIVERSITY DR BLDG 700
Second Line :
City : DURHAM
State : NC
Zip : 27707-3489
Country : US
Telephone Number : 919-237-1337
Fax Number : 919-237-1625
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2010
Last Update Date : 03/26/2024

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