Edwin Fernandez Jr., DNP, APRN, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Offutt Afb, NE

NPI 1235649245 · NPPES record last updated Aug 20, 2025

Key facts

NPI
1235649245
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
11006931 (FL)
Practice address
2501 Capehart Rd
Offutt Afb, NE 68113-1043
Phone
(402) 294-9130
Fax
(402) 294-9138
NPI assigned
Oct 4, 2017
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11006931FLMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11006931 FL Yes

Addresses

Primary practice location

2501 Capehart Rd
Offutt Afb, NE 68113-1043

Mailing address

2501 Capehart Rd
Offutt Afb, NE 68113-1043
Phone (402) 294-9130

Other providers in Offutt Afb, NE

All providers in Offutt Afb, NE · Family Nurse Practitioner in Nebraska

Sources for this page

Verify at the official NPI Registry.