Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****98

NOT RENEWED

N

MD

NISHA

HAZEL

FERNANDES

NISHA HAZEL FERNANDES MD

06/24/2016

11/13/2020

07/31/2023

MINNEAPOLIS

MN

55455

COOK

PRACTITIONER

II III IV V

N

11/30/2023