National Provider Identifier
Kaishla Marie Fernandez, RN
Kaishla Marie Fernandez, RN is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Depew, NY and a listed phone number of (716) 430-8995.
Profile Overview
- NPI
- 1306611074
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- November 22, 2023
- Last Updated
- April 16, 2025
Practice Location
- 3332 Walden Ave
- Depew, NY 14043-2400
Phone: (716) 430-8995
Mailing Address
- 4768 Broadway
- Depew, NY 14043-3820
Specialties
- Family Nurse Practitioner (363LF0000X)
- Nursing Care Agency (251J00000X)
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1306611074
- Entity Type
- Individual
- Last Name
- Fernandez
- First Name
- Kaishla
- Middle Name
- Marie
- Credential
- RN
- Mailing Street Address
- 4768 Broadway
- Mailing City
- Depew
- Mailing State
- NY
- Mailing ZIP Code
- 14043-3820
- Mailing Country
- US
- Mailing Phone
- (716) 430-8995
- Practice Street Address
- 3332 Walden Ave
- Practice City
- Depew
- Practice State
- NY
- Practice ZIP Code
- 14043-2400
- Practice Country
- US
- Practice Phone
- (716) 430-8995
- Enumeration Date
- November 22, 2023
- Last Updated
- April 16, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 16, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X), Nursing Care Agency (251J00000X), Registered Nurse (163W00000X)