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NPI Code Detail

MEDICARE: MS. CLAUDIA FUEGO FERNANDEZ ARNP

MEDICARE: MS. CLAUDIA FUEGO FERNANDEZ ARNP
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
1363LA2200XAdult Health Nurse PractitionerARNP9350277FL

Other Identifiers

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

General Provider Information

NPI Number : 1417475823
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CLAUDIA FUEGO FERNANDEZ ARNP
Provider Business Mailing Address
First Line : 30006 MORNINGMIST DR
Second Line :
City : WESLEY CHAPEL
State : FL
Zip : 33543-6768
Country : US
Telephone Number : 813-545-0831
Fax Number :
Provider Business Practice Location Address
First Line : 3010 E 138TH AVE STE 12
Second Line :
City : TAMPA
State : FL
Zip : 33613-3999
Country : US
Telephone Number : 813-975-2800
Fax Number : 813-977-7631
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2017
Last Update Date : 09/06/2017

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