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NPI Code Detail

MEDICARE: ADRIANNA FERNANDEZ PA-C

MEDICARE: ADRIANNA FERNANDEZ PA-C
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
1363A00000XPhysician AssistantAMD-1455HI

General Provider Information

NPI Number : 1801781034
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIANNA FERNANDEZ PA-C
Provider Business Mailing Address
First Line : 860 IWILEI RD
Second Line :
City : HONOLULU
State : HI
Zip : 96817-5018
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 860 IWILEI RD
Second Line :
City : HONOLULU
State : HI
Zip : 96817-5018
Country : US
Telephone Number : 808-924-9255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2025
Last Update Date : 08/09/2025

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