Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TARYN KLINE FERNANDES, MD
Active Sole ProprietorDR. TARYN KLINE FERNANDES, MD is a General Practice healthcare provider located in UNION GROVE, Wisconsin. NPI 1508396292 is currently active in the NPPES registry. Verify at CMS.
General Practice · UNION GROVE, WI
Registration Details
- NPI Number
- 1508396292
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 14, 2017 (9.1433330663993 yrs)
- Last Updated
- Dec 20, 2021
- Licenses
-
153791 (FL)125.071000 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
163 11TH AVEUNION GROVE, WI, 531821282Browse WI providers · Browse ZIP 53182
- Phone
- 5303566739
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- Internal Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.