Individual
DOROTHY EMILY FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
2252 N 55TH AVE, PHOENIX, AZ 85035-3706
(623) 691-4815
Mailing address
5459 N 77TH DR, GLENDALE, AZ 85303-5674
(602) 434-2830
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN199079
AZ
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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