Patricia Fernandez
Nurse Practitioner in Port Jefferson, NY. Individual provider (NPI-1).
NPI number1720169717
StatusActive
Last updated in NPPESApr 30, 2015
Details
- NPI
- 1720169717
- Entity type
- Individual (NPI-1)
- Name
- Patricia Fernandez
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 18, 2006
- Last updated
- Apr 30, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | F301284 | NY | Yes |
Practice location
75 N Country RdPort Jefferson, NY 11777-2119
Phone 631-473-1320 · Fax 631-476-2813
Mailing address
625 Belle Terre RdSuite 100
Port Jefferson, NY 11777-2316
Phone 631-473-1320 · Fax 631-476-2813
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All 20 Nurse Practitioner providers in Port Jefferson · All 1,173 providers in Port Jefferson
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