| Stephanie Hernandez, | |
|
1709 N Apache Dr, Chandler, AZ 85224-2726 | |
| (219) 916-0619 | |
| Not Available |
| Full Name | Stephanie Hernandez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 1709 N Apache Dr, Chandler, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730625963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 284882 (Arizona) | Primary |
| 163W00000X | Registered Nurse | 28185320A (Indiana) | Secondary |
| Entity Name | Premier Cardiovascular Center, Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669700993 PECOS PAC ID: 4688716889 Enrollment ID: O20100127000148 |
| Entity Name | Banner - University Hospital Based Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750751566 PECOS PAC ID: 1052614294 Enrollment ID: O20160122000508 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Hernandez, 77 S Dobson Rd, Chandler, AZ 85224-6289 Ph: (480) 814-0266 | Stephanie Hernandez, 1709 N Apache Dr, Chandler, AZ 85224-2726 Ph: (219) 916-0619 |
Ms. Jennifer Ann Green, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3887 S Soho Ln, Chandler, AZ 85286 Phone: 602-327-6641 | |
Danielle Marin Hendrickson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2925 E Riggs Rd Ste 7, Chandler, AZ 85249 Phone: 480-677-8282 Fax: 888-316-1686 | |
Terry L Horine, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2971 W Elliot Rd Ste 1, Chandler, AZ 85224 Phone: 480-733-5483 | |
Mrs. Lois Maria Henderson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1076 W Chandler Blvd, Suite 113, Chandler, AZ 85224 Phone: 480-963-9334 | |
Jo Ann Owen Gott, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 715 N Cholla St, Chandler, AZ 85224 Phone: 480-203-1046 | |
Saralyn Heddleston, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 485 S Dobson Rd Ste 201, Chandler, AZ 85224 Phone: 480-728-4700 Fax: 480-728-4747 | |
Ms. Amber Pena Posey, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2470 W Ray Rd Ste 4, Chandler, AZ 85224 Phone: 480-245-7385 Fax: 480-207-6053 |