NPI 1023010162

Nicholas Emile Fernando, PAC

Practitioner Medical Physician Assistant Dakota Dunes, SD

Practice location

Address: 101 Tower Rd Suite 103, Dakota Dunes, SD 57049-5007
Phone: (605) 217-7246
Fax: (605) 217-4878
Mailing address: 917 Wynstone Rd, Jefferson, SD 57038-6875

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 0401 (SD)

Other Physician Assistant providers in South Dakota →

Registry record

NPI: 1023010162
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Jun 2005
Record last updated: 7 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.