MEDICARE: YOLANDA FERNANDEZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851679955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOLANDA FERNANDEZ

Provider Business Mailing Address
First Line	:	4801 E SAHARA AVE APT 25
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-6318
Country	:	US
Telephone Number	:	702-981-7263
Fax Number	:

Provider Business Practice Location Address
First Line	:	2920 S JONES BLVD
Second Line	:	220
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-5642
Country	:	US
Telephone Number	:	702-968-9372
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2011
Last Update Date	:	06/14/2016

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Directions to “ YOLANDA FERNANDEZ ” Practice Location

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