Individual
PROF. LISA MARIA FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OGNP ANP
Contact information
Practice address
10 RODNEY ST, SAINT JAMES, NY 11780-1756
(631) 686-5131
Mailing address
10 RODNEY ST, SAINT JAMES, NY 11780-1756
(631) 686-5131
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
396062-1
NY
163WG0000X
General Practice Registered Nurse
F301559-1
NY
163WM0102X
Maternal Newborn Registered Nurse
Primary
F360270-1
NY
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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