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Contact Information

KATHLEEN FAVA, ACNP-BC
593 EDDY STREET, JANE BROWN, 2 SOUTH
PROVIDENCE, RI02903-4923
 Phone: 401-444-5943
 Fax: 401-444-4216
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for KATHLEEN FAVA · (Female)

NPI Number 1053682765
Status Active
Credentials ACNP-BC (Acute Care Nurse Practitioner - Board Certified)
Entity Individual
Enumeration date 01/26/2012
Last updated 12/05/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • RI License # NPP37680
  • RI License # RN34380
Hospital affiliation(s)
  • RHODE ISLAND HOSPITAL - (Acute Care)
    593 EDDY STREET
    PROVIDENCE, RI 02902
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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