person
Nicholas Emile Fernando, PA-C
Medical Physician Assistant in Dakota Dunes, South Dakota
NPI 1023010162

Nicholas Emile Fernando is a Medical Physician Assistant based in Jefferson, SD and is specialized in Medical. Nicholas Emile Fernando practices in Dakota Dunes, SD and has the professional credentials of PA-C. The NPI Number for Nicholas Emile Fernando is 1023010162 and holds a License No. 0401 (South Dakota).

The current practice location address for Nicholas Emile Fernando is 101 Tower Rd, Dakota Dunes, SD and can be reached out via phone at 605-217-7246 and via fax at 605-217-4878. You can also correspond with Nicholas Emile Fernando through the mailing address at 917 WYNSTONE RD, JEFFERSON, SD - 57038-6875 (mailing address contact number: 605-422-3102).

Location: 101 Tower Rd, Dakota Dunes, SD, 57038-6875
person
Provider Profile Details
NPI Number
1023010162
Provider Name
Nicholas Emile Fernando
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
101 Tower Rd, Dakota Dunes, SD, 57038-6875
Phone Number
605-217-7246
Fax Number
605-217-4878
Provider Enumeration Date
06/01/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
101 Tower Rd
City
State
Zip
57049-5007
Phone Number
605-217-7246
Fax Number
605-217-4878
person
Provider Business Mailing Address Details
Address
917 Wynstone Rd
City
State
Zip
57038-6875
Phone Number
605-422-3102
Fax Number
605-422-3103
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
0401 (South Dakota)
Definition
Definition to come...

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