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NPI Code Detail

MEDICARE: MONICA MARIE FERNANDES

MEDICARE: MONICA MARIE FERNANDES
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
1101Y00000XCounselor

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2Y10086OTHERMAMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11134107113OTHERMAFALLON
31134107113OTHERMAMBHP
4042622756OTHERMACCA
51134107113OTHERMANHP
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
712529OTHERMAHNE
81134107113OTHERMABEACON
971756OTHERMATUFTS
10997303OTHERMANETWORK HEALTH

General Provider Information

NPI Number : 1013418920
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA MARIE FERNANDES
Provider Business Mailing Address
First Line : 80 COMMERCIAL ST
Second Line :
City : HOLYOKE
State : MA
Zip : 01040-4704
Country : US
Telephone Number : 413-846-0445
Fax Number :
Provider Business Practice Location Address
First Line : 80 COMMERCIAL ST
Second Line :
City : HOLYOKE
State : MA
Zip : 01040-4704
Country : US
Telephone Number : 413-846-0445
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2018
Last Update Date : 02/26/2018

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Directions to “ MONICA MARIE FERNANDES ” Practice Location

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