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Individual

ROSA FERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ACAGNP-BC

Contact information

Practice address
7105 SALTPETER ST, CHARLOTTE, NC 28215-6802
(609) 218-7011
Mailing address
7105 SALTPETER ST, CHARLOTTE, NC 28215-6802
(609) 218-7011

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
363LA2200X
Adult Health Nurse Practitioner
Primary
5023783
NC

Other

Enumeration date
04/09/2018
Last updated
01/28/2026
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