Individual
KATRINA FERNANDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
301 SCIENCE DR STE 150, MOORPARK, CA 93021-2097
(805) 955-7000
Mailing address
5962 SERENA ST, SIMI VALLEY, CA 93063-3606
(805) 231-0744
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
95013773
CA
363L00000X
Nurse Practitioner
95013773
CA
Other
Enumeration date
05/10/2021
Last updated
08/07/2023
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