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Nicole Fernandes
Family Nurse Practitioner in Santa Rosa, California
NPI 1558997569

Nicole Fernandes is a Family Nurse Practitioner based in Fremont, CA and is specialized in Family. Nicole Fernandes practices in Santa Rosa, CA. The NPI Number for Nicole Fernandes is 1558997569 and holds a License No. 95012649 (California).

The current practice location address for Nicole Fernandes is 1300 N Dutton Ave, Santa Rosa, CA and can be reached out via phone at 707-396-9191.

Location: 1300 N Dutton Ave, Santa Rosa, CA, 94538-4074
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558997569
Provider Name
Nicole Fernandes
Credential
Provider Entity Type
Individual
Gender
Female
Address
1300 N Dutton Ave, Santa Rosa, CA, 94538-4074
Phone Number
707-396-9191
Fax Number
Provider Enumeration Date
03/21/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95012649 01 CA NURSE PRACTITIONER LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1300 N Dutton Ave
City
Santa Rosa
State
California
Zip
95401-7112
Phone Number
707-396-9191
Fax Number
person
Provider Business Mailing Address Details
Address
1300 N Dutton Ave
City
Santa Rosa
State
California
Zip
95401-7112
Phone Number
707-396-9191
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95012649 (California)
Definition
Definition to come...
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