Healthcare Provider Details

I. General information

NPI: 1538649470
Provider Name (Legal Business Name): ALEXIS FERNANDEZ ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2018
Last Update Date: 01/23/2021
Certification Date: 01/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 RIVER RIDGE DR
ASHEVILLE NC
28803-1299
US

IV. Provider business mailing address

34 ORION WAY
ASHEVILLE NC
28806-8826
US

V. Phone/Fax

Practice location:
  • Phone: 828-298-6350
  • Fax:
Mailing address:
  • Phone: 305-546-8903
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5011922
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: