Provider Demographics
NPI:1073349924
Name:FERNANDEZ, MONICA J (NBC-HWC)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:J
Last Name:FERNANDEZ
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9822 SW 161ST PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-6624
Mailing Address - Country:US
Mailing Address - Phone:305-764-6277
Mailing Address - Fax:
Practice Address - Street 1:9822 SW 161ST PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-6624
Practice Address - Country:US
Practice Address - Phone:305-764-6277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach