Individual
MRS. MARIA LUISA FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
44 PARKVIEW CIR, BETHPAGE, NY 11714-2310
(516) 331-1226
Mailing address
44 PARKVIEW CIR, BETHPAGE, NY 11714-2310
(516) 331-1226
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
636177
NY
Other
Enumeration date
04/13/2021
Last updated
03/02/2022
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