Provider Demographics
NPI:1134009368
Name:HERNANDEZ FELIZ, PAOLA N
Entity type:Individual
Prefix:
First Name:PAOLA
Middle Name:N
Last Name:HERNANDEZ FELIZ
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 1:1200 MARQUIS PKWY APT 2115
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-5471
Mailing Address - Country:US
Mailing Address - Phone:254-952-0446
Mailing Address - Fax:
Practice Address - Street 1:12720 MCMANUS BLVD STE 103
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-4441
Practice Address - Country:US
Practice Address - Phone:757-369-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1334767163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care