Provider Demographics
NPI:1285915983
Name:HERNANDEZ, LENORE ANNE (RN CNS CDE)
Entity type:Individual
Prefix:MRS
First Name:LENORE
Middle Name:ANNE
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:RN CNS CDE
Other - Prefix:
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Mailing Address - Street 1:4301 SAND CREEK ROAD
Mailing Address - Street 2:1ST FLOOR, 1H7
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94531
Mailing Address - Country:US
Mailing Address - Phone:925-813-7006
Mailing Address - Fax:
Practice Address - Street 1:4301 SAND CREEK ROAD
Practice Address - Street 2:1ST FLOOR, 1H7
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94531
Practice Address - Country:US
Practice Address - Phone:925-813-7006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-08
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA458414364SA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2100XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAcute Care