Fava, Kathleen

Fava, Kathleen is an individual health care provider with primary practice located at 593 Eddy Street, Jane Brown, 2 South , Providence RI 02903-4923. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Fava, Kathleen can be contacted via phone (401) 444-5943.

Contact Information

Primary practice address
593 Eddy Street, Jane Brown, 2 South Providence RI 02903-4923
Fax: (401) 444-4216
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN34380 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X NPP37680 Rhode Island

Profile Details

NPI number 1053682765
LBN Legal business name Fava, Kathleen
Credentials ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2012
Last updated Dec 5th, 2018 - about 7 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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