Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Enrique Hernandez

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1306481064

Enrique Hernandez is a Certified Registered Nurse Anesthetist (CRNA) in Phoenix, Arizona. Qualified in 2020, 6 years ago. Practices with Banner - University Hospital Based Physicians LLC, a 347-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

4605 E Elwood St Ste 500
Phoenix, AZ 85040-1978
Phone: (602) 200-9021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 252210 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1306481064
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 16, 2019
Last updated in NPPESSeptember 17, 2021
Certification dateSeptember 17, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Banner - University Hospital Based Physicians Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Phoenix