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NPI Code Detail

MEDICARE: DENA MARIE FERNANDEZ NP

MEDICARE: DENA MARIE FERNANDEZ NP
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 Practitioner4704231551MI

General Provider Information

NPI Number : 1467657536
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENA MARIE FERNANDEZ NP
Provider Business Mailing Address
First Line : 26901 BEAUMONT BLVD STE 3D
Second Line :
City : SOUTHFIELD
State : MI
Zip : 48033-3849
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4600 INVESTMENT DR STE 200
Second Line :
City : TROY
State : MI
Zip : 48098-6375
Country : US
Telephone Number : 248-267-5050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2007
Last Update Date : 02/13/2026

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Directions to “ DENA MARIE FERNANDEZ NP” Practice Location

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