Individual
AMY FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
65 BERGEN ST, NEWARK, NJ 07107-3001
(973) 972-2513
Mailing address
440 FRANKFORT ST, ORANGE, NJ 07050-2506
(201) 620-4591
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
26NR20271100
NJ
163WC0200X
Critical Care Medicine Registered Nurse
828095
NY
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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