Individual provider · Type 1 NPI
Nicole Bliss Fernandez, CPNP, MPH
Pediatric Nurse Practitioner · New York, NY
NPI number
1487177432
Active
Practice location
1275 York Ave
New York, NY 10065-6007
Mailing address
104 High View Dr
Carmel, NY 10512-6134
Other practice locations
- 20 York St, New Haven, CT 06510 · (914) 227-6785
- 20 York St, New Haven, CT 06510 · (914) 227-6785
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN2310326 (MA) |
| Pediatric Nurse Practitioner | 363LP0200X | 7582 (CT) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 382953 (NY) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1487177432
Nicole Bliss Fernandez, CPNP, MPH's National Provider Identifier is 1487177432, issued on Jul 21, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Apr 14, 2019.