Kimberly Tanner Fava, WHCNP, APRN
NPI #1215195631 in Clarksdale, Mississippi
Provider Information
- NPI Number
- 1215195631
- Entity Type
- Individual
- Name
- Kimberly Tanner Fava, WHCNP, APRN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- WHCNP, APRN
- Enumeration Date
- Jun 2, 2008
- Last Updated
- Jan 11, 2023
Practice Location
- Address
- 2000 N STATE ST
- City
- Clarksdale
- State
- Mississippi
- ZIP Code
- 38614-6100
- Phone
- (662) 627-7361
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Obstetrics & Gynecology — Obstetrics & Gynecology |
| Nurse Practitioner |
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