IndividualActive
Andrea Hercules, CPNP
NPI 1194190249 · Pediatric Nurse Practitioner · New York, NY
Provider details
- NPI number
- 1194190249
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- License
- F382582 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
622 W 168th St
Vc 10
New York, NY 10032-3720
Phone: (212) 305-5437
Approximate (ZIP-level) locationGet directions
Mailing address
622 W 168th St
New York, NY 10032-3720
Registry dates
- Enumerated
- 2015-12-01
- Last updated
- 2015-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.