Individual
ALEXANDER FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
141 BEN BOLT AVE, TAZEWELL, VA 24651-9700
(276) 988-2506
Mailing address
PO BOX 215, PRINCETON, WV 24740-0215
(304) 952-1000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0001076374
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457390973
—
VA
05
—
7100002430
—
KY
Enumeration date
06/06/2006
Last updated
03/06/2008
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