Fernandes, Micaela Lara

Fernandes, Micaela Lara is an individual health care provider with primary practice located at 2045 S Vineyard Ste 136 , Mesa AZ 85210-6891. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Fernandes, Micaela Lara can be contacted via phone (480) 565-2165.

Contact Information

Primary practice address
2045 S Vineyard Ste 136 Mesa AZ 85210-6891
Phone: (480) 565-2165
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X

Profile Details

NPI number 1164028403
LBN Legal business name Fernandes, Micaela Lara
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2020
Last updated Dec 10th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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