Individual provider · Type 1 NPI

Mavis Fernando, CPNP-AC/PC

Acute Care Nurse Practitioner · Los Angeles, CA

NPI number 1083493100 Active

Practice location

4650 W Sunset Blvd
Los Angeles, CA 90027-6062

Call (323) 660-2450 Map

Other practice locations

  • 4650 W Sunset Blvd, Los Angeles, CA 90027-6062 · (323) 660-2450

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X95026155 (CA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1083493100

Mavis Fernando, CPNP-AC/PC's National Provider Identifier is 1083493100, issued on Sep 27, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 3, 2023.