Active NPIIndividual providerSole proprietor

Miriam E Fernandes, PMHNP

Nurse Practitioner, Psych/Mental Health in Raynham, Massachusetts

NPI Number1245957042
Practice location
12 Cody Ln, Raynham, MA 02767-5230
Fax
—
Last updated
March 10, 2026

Miriam E Fernandes is a Nurse Practitioner, Psych/Mental Health based in Raynham, MA. Miriam E Fernandes practices in Raynham, MA and has the professional credentials of PMHNP. The NPI Number for Miriam E Fernandes is 1245957042 and holds a License No. RN2314619 (MA). The current practice location address for Miriam E Fernandes is 12 Cody Ln, Raynham, MA 02767-5230 and can be reached out via phone at 508-623-6765.

Provider Profile Details

NPI Number
1245957042
Provider Name
Miriam E Fernandes
Credential
PMHNP
Provider Entity Type
Individual
Gender
Female
Address
12 Cody Ln, Raynham, MA 02767-5230
Phone Number
508-623-6765
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
October 21, 2022
Last Update Date
March 10, 2026
Certification Date
March 10, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Cody Ln
Raynham, MA 02767-5230
Zip
02767-5230
Phone Number
508-623-6765
Raynham, MA 02767Get directions →

Provider Business Mailing Address Details

Address
2460 Praia Pl Apt 12
Dulles, VA 20189-2460
City
Dulles
State
VA
Zip
20189-2460
Phone Number
508-623-6765

License Information

License Number
RN2314619
License State
MA
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Miriam E Fernandes, PMHNP?

The NPI number of Miriam E Fernandes, PMHNP is 1245957042. It was assigned on October 21, 2022 and is currently active in the NPPES registry.

What is the specialty of Miriam E Fernandes, PMHNP?

Miriam E Fernandes, PMHNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2314619.

Where does Miriam E Fernandes, PMHNP practice?

The practice location is 12 Cody Ln, Raynham, MA 02767-5230. The office can be reached at 508-623-6765 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245957042 directly on the NPPES registry website.

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