Individual provider · Type 1 NPI

Kaishla Marie Fernandez, RN

Family Nurse Practitioner · Depew, NY

NPI number 1306611074 Active

Practice location

3332 Walden Ave
Depew, NY 14043-2400

Mailing address

4768 Broadway
Depew, NY 14043-3820

Other practice locations

  • 4768 Broadway, Depew, NY 14043-3820 · (716) 430-8995

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X777682-01 (NY)
Nursing Care Agency 251J00000X777682-01 (NY)
Family Nurse Practitioner Primary 363LF0000XF354185-01 (NY)

Family Nurse Practitioner: Definition to come...

14 other providers at this address

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About NPI 1306611074

Kaishla Marie Fernandez, RN's National Provider Identifier is 1306611074, issued on Nov 22, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Depew, NY. The record was last updated on Apr 16, 2025.