person
Ms. Diane E Fahey, APRN
Pediatric Nurse Practitioner in West Haven, Connecticut
NPI 1144385261

Diane E Fahey is a Pediatric Nurse Practitioner based in West Haven, CT and is specialized in Pediatrics. Diane E Fahey practices in West Haven, CT and has the professional credentials of APRN. The NPI Number for Diane E Fahey is 1144385261 and holds a License No. 000373 (Connecticut).

The current practice location address for Diane E Fahey is 755 Campbell Ave, West Haven, CT and can be reached out via phone at 203-889-2297 and via fax at 203-889-2249. You can also correspond with Diane E Fahey through the mailing address at 755 CAMPBELL AVE, WEST HAVEN, CT - 06516-3715 (mailing address contact number: 203-889-2297).

Location: 755 Campbell Ave, West Haven, CT, 06516-3715
person
Provider Profile Details
NPI Number
1144385261
Provider Name
Diane E Fahey
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
755 Campbell Ave, West Haven, CT, 06516-3715
Phone Number
203-889-2297
Fax Number
203-889-2249
Provider Enumeration Date
12/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001177757 05 CT
000373 01 CT LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
755 Campbell Ave
City
State
Zip
06516-3715
Phone Number
203-889-2297
Fax Number
203-889-2249
person
Provider Business Mailing Address Details
Address
755 Campbell Ave
City
State
Zip
06516-3715
Phone Number
203-889-2297
Fax Number
203-889-2249
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
000373 (Connecticut)
Definition
Definition to come...
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