Fernandez, Andrea Stephanie
Fernandez, Andrea Stephanie is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is her primary health care specialty. Fernandez, Andrea Stephanie can be contacted via phone (336) 716-2255.Contact Information
Primary practice address
Medical Center Blvd
Winston Salem NC 27157-0001
Phone: (336) 716-2255
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 200300151 | North Carolina |
Allopathic & Osteopathic Physicians / Gynecology | 207VG0400X | 200300151 | North Carolina |
Profile Details
NPI number | 1578546602 |
---|---|
LBN Legal business name | Fernandez, Andrea Stephanie |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 22nd, 2005 |
Last updated | Jun 29th, 2010 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1578546602 | NPPES |
Other | 7137758 | AETNA | |
MEDICAID | 89135T4 | AETNA | |
MEDICAID | Q51003 | AETNA | |
MEDICAID | 10134901 | AETNA | |
Other | 135T4 | AETNA | |
Other | 803615 | AETNA | |
MEDICAID | 3810001618 | AETNA | |
Other | E0941 | AETNA |
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