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Kanan Dominica Lucy Fernandes, CRNP
Acute Care Nurse Practitioner in Takoma Park, Maryland
NPI 1891094512

Kanan Dominica Lucy Fernandes is an Acute Care Nurse Practitioner based in Germantown, MD and is specialized in Acute Care. Kanan Dominica Lucy Fernandes practices in Takoma Park, MD and has the professional credentials of CRNP. The NPI Number for Kanan Dominica Lucy Fernandes is 1891094512 and holds a License No. R164021 (Maryland).

The current practice location address for Kanan Dominica Lucy Fernandes is 7600 Carroll Ave, Takoma Park, MD and can be reached out via phone at 301-891-7600. You can also correspond with Kanan Dominica Lucy Fernandes through the mailing address at 13629 PALMETTO CIR, GERMANTOWN, MD - 20874-6234 (mailing address contact number: 301-528-2016).

Location: 7600 Carroll Ave, Takoma Park, MD, 20874-6234
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Provider Profile Details
NPI Number
1891094512
Provider Name
Kanan Dominica Lucy Fernandes
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
7600 Carroll Ave, Takoma Park, MD, 20874-6234
Phone Number
301-891-7600
Fax Number
Provider Enumeration Date
03/21/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R164021 01 MD MARYLAND BOARD OF NURSING- CRNP LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
7600 Carroll Ave
City
State
Zip
20912-6367
Phone Number
301-891-7600
Fax Number
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Provider Business Mailing Address Details
Address
7600 Carroll Ave
City
State
Zip
20912-6367
Phone Number
301-891-7600
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
R164021 (Maryland)
Definition
Definition to come...
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