Provider Demographics
NPI:1396493359
Name:HERNANDEZ, CABRINA LEIGH (LPN)
Entity type:Individual
Prefix:MRS
First Name:CABRINA
Middle Name:LEIGH
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 6TH AVE STE B-2
Mailing Address - Street 2:
Mailing Address - City:MOUNT LAUREL
Mailing Address - State:NJ
Mailing Address - Zip Code:08054-9749
Mailing Address - Country:US
Mailing Address - Phone:856-288-3400
Mailing Address - Fax:856-626-5251
Practice Address - Street 1:199 6TH AVE STE B-2
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-9749
Practice Address - Country:US
Practice Address - Phone:856-288-3400
Practice Address - Fax:856-626-5251
Is Sole Proprietor?:No
Enumeration Date:2022-03-17
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NP07542100164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse