Provider Demographics
NPI:1316796618
Name:FERNANDEZ RODRIGUEZ, KARINA ANDREA (APRN)
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:ANDREA
Last Name:FERNANDEZ RODRIGUEZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9472 NW 120TH ST APT 721
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33018-4196
Mailing Address - Country:US
Mailing Address - Phone:786-774-0424
Mailing Address - Fax:
Practice Address - Street 1:9472 NW 120TH ST APT 721
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33018-4196
Practice Address - Country:US
Practice Address - Phone:786-774-0424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-17
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11032835363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily