Fernandez, Cheryl Ann

Fernandez, Cheryl Ann is an individual health care provider with primary practice located at 1501 Kings Hwy Department Of Pediatrics, Shreveport LA 71103-4228. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Fernandez, Cheryl Ann can be contacted via phone (318) 675-7737.

Contact Information

Primary practice address
1501 Kings Hwy Department Of Pediatrics Shreveport LA 71103-4228
Phone: (318) 675-7737
Fax: (318) 675-5666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN046272 Louisiana

Profile Details

NPI number 1174544993
LBN Legal business name Fernandez, Cheryl Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jul 8th, 2007 - about 18 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 1174544993 NPPES
Louisiana MEDICAID 1691933

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