NPI 1164705539

Madeline Carmen Hernandez

Practitioner Specialist Alexandria, VA

Practice location

Address: 5838 Brookview Dr, Alexandria, VA 22310-1817
Phone: (703) 350-8640

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 0019009273 (VA)

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Registry record

NPI: 1164705539
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Sep 2011
Record last updated: 22 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.