Individual provider · Type 1 NPI

Kiley Elizabeth Fair, AGACNP

Gerontology Nurse Practitioner · Providence, RI

NPI number 1841832235 Active

Practice location

593 Eddy St
Providence, RI 02903-4923

Fax (401) 444-5493

Mailing address

110 Elm St
Providence, RI 02903-4626

Other practice locations

  • 455 Toll Gate Rd, Warwick, RI 02886-2759 · (401) 737-7000

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAPRN02024 (RI)
Acute Care Nurse Practitioner 363LA2100XAPRN02024 (RI)
Gerontology Nurse Practitioner Primary 363LG0600XAPRN02024 (RI)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1841832235

Kiley Elizabeth Fair, AGACNP's National Provider Identifier is 1841832235, issued on Oct 17, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Providence, RI. The record was last updated on Dec 13, 2022.