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NPI Code Detail

MEDICARE: FOTEINI HERNANDEZ CNP

MEDICARE: FOTEINI HERNANDEZ CNP
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
1103K00000XBehavior Analyst
2363LF0000XFamily Nurse PractitionerRN2349705MA

General Provider Information

NPI Number : 1457744807
Entity Type Code : Individual
Provider Name (Legal Business Name) : FOTEINI HERNANDEZ CNP
Provider Business Mailing Address
First Line : 1069 BROADWAY
Second Line :
City : SAUGUS
State : MA
Zip : 01906-3210
Country : US
Telephone Number : 781-233-1450
Fax Number : 781-233-1100
Provider Business Practice Location Address
First Line : 1069 BROADWAY
Second Line :
City : SAUGUS
State : MA
Zip : 01906-3210
Country : US
Telephone Number : 781-233-1450
Fax Number : 781-233-1100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2015
Last Update Date : 03/10/2023

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