Fairlie, Dawn

Fairlie, Dawn is an sole proprietor health care provider with primary practice located at 4771 Hylan Blvd , Staten Island NY 10312-6315. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Diabetes Educator, Nursing Service Providers / Nurse Massage Therapist (NMT), Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Fairlie, Dawn can be contacted via phone (973) 216-9898.

Contact Information

Primary practice address
4771 Hylan Blvd Staten Island NY 10312-6315
Phone: (973) 216-9898
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 314022-1 New York
Nursing Service Providers / Nurse Massage Therapist (NMT) 163WM1400X 26NN06671900 New Jersey
Other Service Providers / Specialist 174400000X F300719-1 New York
Other Service Providers / Specialist 174400000X F340111-1 New York
Other Service Providers / Specialist 174400000X 26NN06671900 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F332587-1 New York

Profile Details

NPI number 1174746499
LBN Legal business name Fairlie, Dawn
Credentials ANP,GNP,FNP,CDE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2007
Last updated Feb 19th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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