Individual
STEPHANIE NICHOLE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1256 BROADWAY AVE, EL CENTRO, CA 92243-2317
(760) 352-5712
(760) 337-5159
Mailing address
4483 W CHARRO LN, YUMA, AZ 85365-8067
(760) 352-5712
(760) 337-5159
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
95176905
CA
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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