ANTHONY FERNANDEZ APRN NPI 1053954420

NPI Information

  • NPI: 1053954420
  • Provider Name: ANTHONY FERNANDEZ, APRN
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1611 NW 12TH AVE
    MIAMI, FL
    ZIP 33136
  • Phone: (305) 801-2380

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NPI Details

Anthony Fernandez, APRN is an acute care nurse practitioner in Miami, FL with 6 years of experience. Anthony Fernandez, APRN NPI is 1053954420. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1611 NW 12TH AVE
MIAMI, FL
ZIP 33136-005
Phone: (305) 801-2380
Fax: (502) 890-2524

The NPI 1053954420 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/17/2019 and was last updated on 11/19/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute CareAPRN11004542FLORIDAYes
2363LA2200XNurse PractitionerAdult HealthAPRN11004542FLORIDANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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