Henrique Fernandes, PA
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Harrison, NJ
NPI 1558020701 · NPPES record last updated Dec 15, 2021
Key facts
- NPI
- 1558020701
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 714 Jersey St
Harrison, NJ 07029-2014 - Phone
- (973) 818-8770
- NPI assigned
- Dec 15, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Physician Assistant
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
714 Jersey St
Harrison, NJ 07029-2014
Mailing address
714 Jersey St
Harrison, NJ 07029-2014
Phone (973) 818-8770
Other providers in Harrison, NJ
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- Delores M Eaves
- Maria L. Egoavil
- Emely Caroline Escuza
- Amanda Kelly Fabri
- Angelica Fiuza
- Rosemarie Flom Cisneros
- Paul Fontanazza
- Jon Alexander Frawley
- Jamie Fugowski
All providers in Harrison, NJ · Student in an Organized Health Care Education/Training Program in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.