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Michelle Fernandez
Student in an Organized Health Care Education/Training Program in Avondale, Arizona
NPI 1467907618

Michelle Fernandez is a Student in an Organized Health Care Education/Training Program based in Avondale, AZ. Michelle Fernandez practices in Avondale, AZ. The NPI Number for Michelle Fernandez is 1467907618 and holds a License No. 86-6004326 (Arizona).

The current practice location address for Michelle Fernandez is 530 E Riley Dr, Avondale, AZ and can be reached out via phone at 623-932-7300 and via fax at 623-932-7311. You can also correspond with Michelle Fernandez through the mailing address at 530 E RILEY DR, AVONDALE, AZ - 85323-2154 (mailing address contact number: 623-932-7300).

Location: 530 E Riley Dr, Avondale, AZ, 85323-2154
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467907618
Provider Name
Michelle Fernandez
Credential
Provider Entity Type
Individual
Gender
Female
Address
530 E Riley Dr, Avondale, AZ, 85323-2154
Phone Number
623-932-7300
Fax Number
623-932-7311
Provider Enumeration Date
08/17/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
594722 01 AZ AHCCCS
institution
Provider Business Practice Location Address Details
Address
530 E Riley Dr
City
Avondale
State
Arizona
Zip
85323-2154
Phone Number
623-932-7300
Fax Number
623-932-7311
person
Provider Business Mailing Address Details
Address
530 E Riley Dr
City
Avondale
State
Arizona
Zip
85323-2154
Phone Number
623-932-7300
Fax Number
623-932-7311
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
86-6004326 (Arizona)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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