Individual provider · Type 1 NPI

Ethan Andrew Fernandez

Student in an Organized Health Care Education/Training Program · Lexington, KY

NPI number 1477469286 Active

Practice location

780 Rose St Lexington Ky 40536
Lexington, KY 40536-0001

Call (859) 323-6161 Map

Mailing address

1021 Old Wood Ct
Lexington, KY 40515-6244

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1477469286

Ethan Andrew Fernandez's National Provider Identifier is 1477469286, issued on Aug 21, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lexington, KY. The record was last updated on Aug 21, 2026.