Provider Demographics
NPI:1215641881
Name:HERNANDEZ, WINIFRED C (RN, LCCE, DOULA)
Entity type:Individual
Prefix:MRS
First Name:WINIFRED
Middle Name:C
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:RN, LCCE, DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 CEDAR CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70447-9638
Mailing Address - Country:US
Mailing Address - Phone:845-220-7226
Mailing Address - Fax:
Practice Address - Street 1:328 CEDAR CREEK DR
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:LA
Practice Address - Zip Code:70447-9638
Practice Address - Country:US
Practice Address - Phone:845-220-7226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-09
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA104893163WC1600X, 163WM0102X
374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No163WC1600XNursing Service ProvidersRegistered NurseContinuing Education/Staff Development
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn