Fernandez, Terrelyn C

Fernandez, Terrelyn C is an individual health care provider with primary practice located at 1620 Pennsylvania Ave Ste C , Fairfield CA 94533-3509. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Fernandez, Terrelyn C can be contacted via phone (707) 428-4878.

Contact Information

Primary practice address
1620 Pennsylvania Ave Ste C Fairfield CA 94533-3509
Phone: (707) 428-4878
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA13073 California

Profile Details

NPI number 1215061775
LBN Legal business name Fernandez, Terrelyn C
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
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 1215061775 NPPES
California Other PA13073 STATE LICENSE NUMBER

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