Luisa Fernandez, PA-C
Physician Assistant in Winston Salem, NC. Individual provider (NPI-1).
NPI number1164099784
StatusActive
Last updated in NPPESJun 5, 2026
Details
- NPI
- 1164099784
- Entity type
- Individual (NPI-1)
- Name
- Luisa Fernandez
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 10, 2021
- Certification date
- Jun 5, 2026
- Last updated
- Jun 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-11432 | NC | Yes |
Practice location
140 Kimel Park Dr Ste 100Winston Salem, NC 27103-6185
Phone 336-245-2100
Mailing address
Po Box 751803Charlotte, NC 28275-1803
Other practice locations
512 Waughtown St
Winston Salem, NC 27127-2236
Winston Salem, NC 27127-2236
Phone 336-792-1515 · Fax 336-792-1518
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All 646 Physician Assistant providers in Winston Salem · All 11,775 providers in Winston Salem
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