Provider Demographics
NPI:1396815775
Name:FERNANDEZ, ANDREW (DRNP,ANP-BC,OEHNP)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:FERNANDEZ
Suffix:
Gender:M
Credentials:DRNP,ANP-BC,OEHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 212274
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91921-2274
Mailing Address - Country:US
Mailing Address - Phone:619-869-5572
Mailing Address - Fax:
Practice Address - Street 1:10666 N. TORREY PINES RD.
Practice Address - Street 2:SCRIPPS TORREY PINES/GREEN HOSPITAL
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037
Practice Address - Country:US
Practice Address - Phone:858-554-2397
Practice Address - Fax:858-554-2391
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12589363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health