Fernandez, Katelyn Marie

Fernandez, Katelyn Marie is an individual health care provider with primary practice located at 844 Old Tunnel Rd , Grass Valley CA 95945-8524. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Fernandez, Katelyn Marie can be contacted via phone (530) 274-9762.

Contact Information

Primary practice address
844 Old Tunnel Rd Grass Valley CA 95945-8524
Phone: (530) 274-9762
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 65254 California

Profile Details

NPI number 1316598741
LBN Legal business name Fernandez, Katelyn Marie
Credentials PA-C, RD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2019
Last updated Jan 15th, 2026 - about 9 months 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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