Provider Demographics
NPI:1073213278
Name:FERNANDEZ PELAEZ, CLAUDIA (NP)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:
Last Name:FERNANDEZ PELAEZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2882 NE 4TH ST
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33033-7097
Mailing Address - Country:US
Mailing Address - Phone:305-562-9238
Mailing Address - Fax:
Practice Address - Street 1:2882 NE 4TH ST
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-7097
Practice Address - Country:US
Practice Address - Phone:305-562-9238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11020104363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner