Individual provider · Type 1 NPI

Kathleen Fava, ACNP-BC

Acute Care Nurse Practitioner · Providence, RI

NPI number 1053682765 Active

Practice location

593 Eddy Street, Jane Brown, 2 South
Providence, RI 02903-4923

Call (401) 444-5943 Map

Fax (401) 444-4216

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4513

Other practice locations

  • 593 Eddy St, Providence, RI 02903-4923 · (401) 444-5943

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN34380 (RI)
Acute Care Nurse Practitioner Primary 363LA2100XNPP37680 (RI)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1053682765

Kathleen Fava, ACNP-BC's National Provider Identifier is 1053682765, issued on Jan 26, 2012. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Providence, RI. The record was last updated on Dec 5, 2018.