Fernandez, Eden
Fernandez, Eden is an individual health care provider with primary practice located at 3300 Centennial Ln , Ellicott City MD 21042-3600. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fernandez, Eden can be contacted via phone (866) 389-2727.Contact Information
Primary practice address
3300 Centennial Ln
Ellicott City MD 21042-3600
Phone: (866) 389-2727
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | C0004811 | Maryland |
Profile Details
| NPI number | 1255681631 |
|---|---|
| LBN Legal business name | Fernandez, Eden |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2012 |
| Last updated | Jun 10th, 2020 - about 4 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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