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Individual

SHUJEN T FERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP-C, CCRN

Contact information

Practice address
10920 MOSS PARK RD STE 200, ORLANDO, FL 32832-6087
(407) 846-0533
(407) 518-1730
Mailing address
2316 HILLCREST ST, ORLANDO, FL 32803-4900
(407) 228-2804
(407) 228-2806

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9167756
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9167756
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2018014428
ANCC
FL
01
F0914948
AMERICAN ACADEMY OF NURSE PRACTITIONERS
FL
01
IA275X
PTAN NO
FL
01
OB747
PTAN
FL
Enumeration date
11/21/2014
Last updated
10/19/2021
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