Fernandes, Glenn R

Fernandes, Glenn R is an individual health care provider with primary practice located at 1032 Mar Walt Dr Unit 210 , Fort Walton Beach FL 32547-6661. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Fernandes, Glenn R can be contacted via phone (508) 638-2608.

Contact Information

Primary practice address
1032 Mar Walt Dr Unit 210 Fort Walton Beach FL 32547-6661
Phone: (508) 638-2608
Fax: (850) 862-6098
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN126877 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11017375 Florida

Profile Details

NPI number 1841356441
LBN Legal business name Fernandes, Glenn R
Credentials APRN, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jul 18th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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