DR. OTNIEL HERNANDEZ DNP NPI 1003000720

NPI Information

  • NPI: 1003000720
  • Provider Name: DR. OTNIEL HERNANDEZ, DNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 43 BARKLEY CIR STE 201
    FORT MYERS, FL
    ZIP 33907
  • Phone: (239) 603-7303

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NPI Details

DR. Otniel Hernandez, DNP is a family nurse practitioner in Fort Myers, FL. DR. Otniel Hernandez, DNP NPI is 1003000720. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

43 BARKLEY CIR STE 201
FORT MYERS, FL
ZIP 33907-518
Phone: (239) 603-7303
Fax: (239) 603-7107

The NPI 1003000720 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/6/2007 and was last updated on 2/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner5012043NORTH CAROLINANo
2363LF0000XNurse PractitionerFamilyARNP3081082FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1308614300MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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