Individual provider · Type 1 NPI
Kerry Alice Fernandez
Psychiatric/Mental Health Registered Nurse · Provo, UT
NPI number
1871161398
Active
Practice location
750 N Freedom Blvd
Provo, UT 84601-1677
Fax (801) 373-0639
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 290665-3102 (UT) |
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 290655-3102 (UT) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1871161398
Kerry Alice Fernandez's National Provider Identifier is 1871161398, issued on Jun 11, 2021. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Provo, UT. The record was last updated on Jun 11, 2021.