person
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
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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
State
Zip
95401-7112
Phone Number
707-396-9191
Fax Number
person
Provider Business Mailing Address Details
Address
1300 N Dutton Ave
City
State
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
License No.
95012649 (California)
Definition
Definition to come...
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