Individual provider · Type 1 NPI
Nicholas Jay Fazio, APN
Acute Care Nurse Practitioner · Little Rock, AR
NPI number
1609050087
Active
Practice location
6119 Midtown Ave Ste 202
Little Rock, AR 72205
Fax (501) 663-4335
Mailing address
6119 Midtown Ave Ste 201
Little Rock, AR 72205-5316
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | AP05311 (LA) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | A003071 (AR) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1609050087
Nicholas Jay Fazio, APN's National Provider Identifier is 1609050087, issued on Dec 20, 2007. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Little Rock, AR. The record was last updated on Dec 13, 2018.