Individual
FERNANDE DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5 GREAT OAKS DR, NEW CITY, NY 10956-7132
(845) 641-4175
Mailing address
5 GREAT OAKS DR, NEW CITY, NY 10956-7132
(845) 641-4175
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
462321
NY
163WG0000X
General Practice Registered Nurse
Primary
462321
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N01818249
WORK
NY
Enumeration date
03/09/2021
Last updated
03/09/2021
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