Provider Demographics
NPI:1477677359
Name:FERNANDEZ, MARGARITA LOZADA (CRNP)
Entity Type:Individual
Prefix:MS
First Name:MARGARITA
Middle Name:LOZADA
Last Name:FERNANDEZ
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MRS
Other - First Name:MARGIE
Other - Middle Name:LOZADA
Other - Last Name:FERNANDEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNP
Mailing Address - Street 1:1216 BAYSIDE CIR
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93035-2147
Mailing Address - Country:US
Mailing Address - Phone:805-984-1270
Mailing Address - Fax:805-815-4848
Practice Address - Street 1:1216 BAYSIDE CIRCLE
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93035-2147
Practice Address - Country:US
Practice Address - Phone:805-815-4400
Practice Address - Fax:805-815-4848
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-18
Last Update Date:2009-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARNP 264154363LW0102X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA161676062OtherEIN NUMBER