Kathleen Fava, ACNP-BC
NPI #1053682765 in Providence, Rhode Island
Provider Information
- NPI Number
- 1053682765
- Entity Type
- Individual
- Name
- Kathleen Fava, ACNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Acute Care
- Credential
- ACNP-BC
- Enumeration Date
- Jan 26, 2012
- Last Updated
- Dec 5, 2018
Practice Location
- Address
- 593 EDDY STREET, JANE BROWN, 2 SOUTH
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02903-4923
- Phone
- (401) 444-5943
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner - Acute Care — Acute Care |
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