Provider Demographics
NPI:1992729396
Name:KUMAR, FERN DAUM (APN)
Entity type:Individual
Prefix:
First Name:FERN
Middle Name:DAUM
Last Name:KUMAR
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 AMHERST ST STE 101
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-3344
Mailing Address - Country:US
Mailing Address - Phone:540-722-0220
Mailing Address - Fax:540-722-0191
Practice Address - Street 1:812 AMHERST ST STE 101
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-3344
Practice Address - Country:US
Practice Address - Phone:540-722-0220
Practice Address - Fax:540-722-0191
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001126349163W00000X
VA0024126349363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily