Individual provider · Type 1 NPI

Kanan Dominica Lucy Fernandes, CRNP

Acute Care Nurse Practitioner · Takoma Park, MD

NPI number 1891094512 Active

Practice location

7600 Carroll Ave
Takoma Park, MD 20912-6367

Mailing address

13629 Palmetto Cir
Germantown, MD 20874-6234

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XR164021 (MD)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1891094512

Kanan Dominica Lucy Fernandes, CRNP's National Provider Identifier is 1891094512, issued on Mar 21, 2011. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Takoma Park, MD. The record was last updated on Mar 21, 2011.