Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | ME86798 | FL |
N | 2080P0207X | Pediatric Hematology-Oncologist | ME86798 | FL |
Y | 2080P0208X | Pediatric Infectious Diseases | 25536 | SC |
NPI | 1013944685 |
---|---|
Provider Name | Dr. Cristina Espindula Fernandes |
First Address | Greenville, SC 29615-4545 |
Second Address | Greenville, SC 29605-4255 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 13/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2711958-00 | (05) | FL |
50645 | (02) | FL |
I21616 | (02) | FL |