KATHLEEN FAVA, ACNP-BC

Nurse Practitioner - Acute Care

Active Individual
NPI: 1053682765

Practice Address

593 EDDY STREET, JANE BROWN, 2 SOUTH
Providence, RI 02903

Phone: (401) 444-5943

Specialties

Specialty Code Primary License
Registered Nurse 163W00000X No RN34380 (RI)
Nurse Practitioner - Acute Care 363LA2100X Yes NPP37680 (RI)

Frequently Asked Questions

NPI 1053682765 is the National Provider Identifier for KATHLEEN FAVA, ACNP-BC, a Nurse Practitioner - Acute Care provider located in Providence, RI. This NPI was enumerated on January 26, 2012.
KATHLEEN FAVA, ACNP-BC practices at 593 EDDY STREET, JANE BROWN, 2 SOUTH, Providence, RI 02903.

Quick Facts

NPI
1053682765
Type
Individual
Enumerated
Jan 26, 2012
Last Updated
Dec 5, 2018

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