Provider Demographics
NPI:1982410999
Name:FERNANDEZ, CLAUDIA (FNP BSN RN)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:FERNANDEZ
Suffix:
Gender:F
Credentials:FNP BSN RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2208 PASADENA CT UNIT 11
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91915-2321
Mailing Address - Country:US
Mailing Address - Phone:573-979-2864
Mailing Address - Fax:
Practice Address - Street 1:2208 PASADENA CT UNIT 11
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91915-2321
Practice Address - Country:US
Practice Address - Phone:573-979-2864
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95025656363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily