Provider Demographics
NPI:1750951778
Name:HERNANDEZ, YEDY AILED (ARNP)
Entity type:Individual
Prefix:
First Name:YEDY
Middle Name:AILED
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6050 W 20TH AVENUE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5183
Mailing Address - Country:US
Mailing Address - Phone:786-584-5555
Mailing Address - Fax:786-584-5050
Practice Address - Street 1:6050 W 20TH AVENUE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5183
Practice Address - Country:US
Practice Address - Phone:786-584-5555
Practice Address - Fax:786-584-5050
Is Sole Proprietor?:No
Enumeration Date:2021-06-30
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9430169163WC0200X
FLF06212826363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine