Provider / Organization | NPI | Date Certified |
---|---|---|
CRISTINA FERNANDEZ | 1598870313 | 2023-02-14 |
Cristina Fernandez is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1598870313. Registration indicates Cristina Fernandez is a provider of access to pediatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Pediatrics (Allopathic & Osteopathic Physicians, Pediatrics) (Pediatrics, ) (Primary Care/Family Planning/APRN/PA, ) (Pediatrics, Allopathic & Osteopathic Physicians)
Entity Type | Individual |
Provider Name | Cristina Fernandez M.D. |
Practice Office Address | 2401 GILLHAM RD KANSAS CITY, MO US |
Practice Office Telephone | 8162343000 |
Practice Office Fax | 8163029939 |
Mailing Address | 2401 GILLHAM RD PROVIDER ENROLLMENT DEPT KANSAS CITY, MO 641084619 US |
Business Telephone | 8167015200 |
Business Fax | 8163029939 |
Address | City / State | Phone / Fax |
---|---|---|
2412 Cuming St Suite 103 | Omaha, NE 681311602 | 4029558100 / 4029558101 |
Code | Practice | License No State |
---|---|---|
208000000X PRIMARY | Access to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Pediatrics Allopathic & Osteopathic Physicians Pediatrics Pediatrics Primary Care/Family Planning/APRN/PA Pediatrics Allopathic & Osteopathic Physicians | 22883
NE |