MEDICARE: CYNTHIA T HERNANDEZ NP

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	95008237	CA

General Provider Information

NPI Number	:	1558861997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA T HERNANDEZ NP

Provider Business Mailing Address
First Line	:	PO BOX 788
Second Line	:
City	:	HEMET
State	:	CA
Zip	:	92546-0788
Country	:	US
Telephone Number	:	951-652-0060
Fax Number	:	714-276-2604

Provider Business Practice Location Address
First Line	:	255 N GILBERT ST BLDG B4
Second Line	:
City	:	HEMET
State	:	CA
Zip	:	92543-4078
Country	:	US
Telephone Number	:	951-652-0060
Fax Number	:	714-276-2604

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

Provider Enumeration Date	:	02/12/2018
Last Update Date	:	02/03/2026

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