MICAELA LARA FERNANDES

PHOENIX, AZ
NPI1164028403
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: AZ  251854)
Enumeration Date2020-12-10
Last Update Date2025-11-18
Business Address
MICAELA LARA FERNANDES CNM
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1200
Mailing Address
MICAELA LARA FERNANDES CNM
PO BOX 95460
CLEVELAND, OH 44101-0033
Phone number: 602-581-6080