Individual
CAITLIN J FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
114 UNIVERSITY AVE, ATTN CREDENTIALING, ROCHESTER, NY 14605-6626
(585) 546-2771
(315) 222-7435
Mailing address
114 UNIVERSITY AVE, ATTN CREDENTIALING, ROCHESTER, NY 14605-6626
(585) 546-2771
(315) 222-7435
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F348628-01
NY
363LF0000X
Family Nurse Practitioner
SP018683
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06742736
—
NY
Enumeration date
12/13/2017
Last updated
01/19/2022
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