Individual ProviderYarenis HernandezNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address525 Technology Park Ste 115, Lake Mary, FL 32746-7107(407) 647-2346(813) 369-3963PECOS EnrollmentBased on the most recent information from CMS, provider Yarenis Hernandez is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:21 AM.Profile DetailsProvider ID1609586478Provider TypeIndividualFull NameHernandez, YarenisCredentialPMHNP-BCGenderFemaleSole ProprietorNoEnumeration Date12/1/2022Last Updated12/1/2022Contact InformationPractice LocationPractice Address525 Technology Park Ste 115, Lake Mary, FL 32746-7107Phone(407) 647-2346FaxUnlisted FaxMailing LocationMailing Address12306 Juniper Field Ct, Riverview, FL 33579-9325Phone(813) 369-3963FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LP0808XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense2022057683Florida