Individual provider · Type 1 NPI

Lauren Theresa Fahy

Pediatric Nurse Practitioner · Elizabeth, NJ

NPI number 1477151850 Active

Practice location

435 Elmora Ave
Elizabeth, NJ 07208-1576

Mailing address

6 Aspen Ct
Hamilton, NJ 08619-4601

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X26NJ01066200 (NJ)

Pediatric Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1477151850

Lauren Theresa Fahy's National Provider Identifier is 1477151850, issued on Oct 16, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Elizabeth, NJ. The record was last updated on Oct 16, 2020.