Individual
MS. HOLLY FERNANDES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
886 MINERAL SPRING AVE, PAWTUCKET, RI 02860-3322
(401) 475-3063
(401) 475-0593
Mailing address
886 MINERAL SPRING AVE, PAWTUCKET, RI 02860-3322
(401) 475-3063
(401) 475-0593
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NPP37132
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9003461
—
RI
Enumeration date
08/15/2005
Last updated
07/08/2007
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