Provider Demographics
NPI:1033925482
Name:HERNANDEZ, DANIELA MARIEL
Entity type:Individual
Prefix:MRS
First Name:DANIELA
Middle Name:MARIEL
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 LEWIS CIR
Mailing Address - Street 2:
Mailing Address - City:MILTON FREEWATER
Mailing Address - State:OR
Mailing Address - Zip Code:97862-7154
Mailing Address - Country:US
Mailing Address - Phone:541-861-8071
Mailing Address - Fax:
Practice Address - Street 1:34 LEWIS CIR
Practice Address - Street 2:
Practice Address - City:MILTON FREEWATER
Practice Address - State:OR
Practice Address - Zip Code:97862-7154
Practice Address - Country:US
Practice Address - Phone:541-861-8071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula