NICHOLAS EMILE FERNANDO PA-C NPI 1023010162

NPI Information

NPI: 1023010162
Provider Name: NICHOLAS EMILE FERNANDO, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
101 TOWER RD
SUITE 103
DAKOTA DUNES, SD
ZIP 57049
Phone: (605) 217-7246
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Nicholas Emile Fernando, PA-C is a medical physician assistant in Dakota Dunes, SD. Nicholas Emile Fernando, PA-C NPI is 1023010162. 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:

101 TOWER RD
SUITE 103
DAKOTA DUNES, SD
ZIP 57049-007
Phone: (605) 217-7246
Fax: (605) 217-4878

The enumeration date for this NPI number is 6/1/2005 and was last updated on 12/7/2017.

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
1	363AM0700X	Physician Assistant	Medical	0401	SOUTH DAKOTA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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