Individual provider · Type 1 NPI

Dawn Fairlie, ANP, GNP, FNP, CDE

Family Nurse Practitioner · Staten Island, NY

NPI number 1174746499 Active

Practice location

4771 Hylan Blvd
Staten Island, NY 10312-6315

Specialties and licenses

TaxonomyCodeLicense
Diabetes Educator Registered Nurse 163WD0400X314022-1 (NY)
Nurse Massage Therapist (NMT) 163WM1400X26NN06671900 (NJ)
Specialist 174400000XF300719-1 (NY)
Specialist 174400000XF340111-1 (NY)
Specialist 174400000X26NN06671900 (NJ)
Family Nurse Practitioner Primary 363LF0000XF332587-1 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1174746499

Dawn Fairlie, ANP, GNP, FNP, CDE's National Provider Identifier is 1174746499, issued on Apr 11, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Staten Island, NY. The record was last updated on Feb 19, 2009.