Nicholas Emile Fernando, PA-C
NPI #1023010162 in Dakota Dunes, South Dakota
Provider Information
- NPI Number
- 1023010162
- Entity Type
- Individual
- Name
- Nicholas Emile Fernando, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Jun 1, 2005
- Last Updated
- Dec 7, 2017
Practice Location
- Address
- 101 TOWER RD
- Address 2
- SUITE 103
- City
- Dakota Dunes
- State
- South Dakota
- ZIP Code
- 57049-5007
- Phone
- (605) 217-7246
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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