Individual
KATRIELLA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6064 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-5350
(702) 940-8007
(702) 832-1940
Mailing address
6064 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-5350
(702) 940-8007
(702) 832-1940
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
823656
NV
363LF0000X
Family Nurse Practitioner
Primary
823656
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073169454
—
NV
Enumeration date
08/12/2019
Last updated
04/18/2024
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