Individual
NORA JESUSA FERNANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5501 AVENUE L, BROOKLYN, NY 11234-3335
(347) 587-4418
Mailing address
5501 AVENUE L, BROOKLYN, NY 11234-3335
(347) 587-4418
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F334761
NY
Other
Enumeration date
10/18/2006
Last updated
04/15/2010
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