Provider Demographics
NPI:1285910976
Name:HERNANDEZ, ALBERTO GUILLERMO (FNP-C)
Entity type:Individual
Prefix:MR
First Name:ALBERTO
Middle Name:GUILLERMO
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3910 NORTHWOOD DR
Mailing Address - Street 2:UNIT B
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-7706
Mailing Address - Country:US
Mailing Address - Phone:925-305-9599
Mailing Address - Fax:
Practice Address - Street 1:3910 NORTHWOOD DR
Practice Address - Street 2:UNIT B
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-7706
Practice Address - Country:US
Practice Address - Phone:925-305-9599
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-26
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21625363LF0000X
CA771501163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily