Provider Demographics
NPI:1205211190
Name:FRANCES FERNANDEZ
Entity Type:Organization
Organization Name:FRANCES FERNANDEZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:IRIS
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:914-424-0465
Mailing Address - Street 1:112 SEDGWICK AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-2621
Mailing Address - Country:US
Mailing Address - Phone:914-424-0465
Mailing Address - Fax:
Practice Address - Street 1:112 SEDGWICK AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-2621
Practice Address - Country:US
Practice Address - Phone:914-424-0465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-21
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY665413251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care