Fernandes, Holly

Fernandes, Holly is an individual health care provider with primary practice located at 886 Mineral Spring Ave , Pawtucket RI 02860-3322. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fernandes, Holly can be contacted via phone (401) 475-3063.

Contact Information

Primary practice address
886 Mineral Spring Ave Pawtucket RI 02860-3322
Fax: (401) 475-0593
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NPP37132 Rhode Island

Profile Details

NPI number 1649272162
LBN Legal business name Fernandes, Holly
Credentials Registered Nurse Practitioner (RNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649272162 NPPES
Rhode Island MEDICAID 9003461

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