SearchNevada122300000X

Nicole Fernandez

NPI 1982001566 · on the registry since 2014 · sole proprietor

Practice

Address
6525 N Decatur Blvd
Suite 150
Las Vegas, NV 89131
Phone
(702) 577-1941
Organisation at this address
Khakwani Medical Corporation, Pc
Watanabe Shadow Mountain Dental Group, Professional Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
122300000X
Licence states on file
NV, NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-07-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada