Hernandez, Siddiqui Rose

Hernandez, Siddiqui Rose is an individual health care provider with primary practice located at 123 E Baseline Rd Ste D104 , Tempe AZ 85283-1291. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Hernandez, Siddiqui Rose can be contacted via phone (480) 718-0568.

Contact Information

Primary practice address
123 E Baseline Rd Ste D104 Tempe AZ 85283-1291
Phone: (480) 718-0568
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN213648 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2010039446 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R205786 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP11103 Arizona

Profile Details

NPI number 1235304031
LBN Legal business name Hernandez, Siddiqui Rose
Credentials CRNP PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2008
Last updated Dec 31st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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