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Ms. Dawn Fairlie, ANP,GNP,FNP,CDE
Family Nurse Practitioner in Staten Island, New York
NPI 1174746499

Dawn Fairlie is a Family Nurse Practitioner based in Staten Island, NY and is specialized in Family. Dawn Fairlie practices in Staten Island, NY and has the professional credentials of ANP,GNP,FNP,CDE. The NPI Number for Dawn Fairlie is 1174746499 and holds a License No. 314022-1 (New York).

The current practice location address for Dawn Fairlie is 4771 Hylan Blvd, Staten Island, NY and can be reached out via phone at 973-216-9898.

Location: 4771 Hylan Blvd, Staten Island, NY, 10312-6315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174746499
Provider Name
Dawn Fairlie
Credential
ANP,GNP,FNP,CDE
Provider Entity Type
Individual
Gender
Female
Address
4771 Hylan Blvd, Staten Island, NY, 10312-6315
Phone Number
973-216-9898
Fax Number
Provider Enumeration Date
04/11/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4771 Hylan Blvd
City
Staten Island
State
New York
Zip
10312-6315
Phone Number
973-216-9898
Fax Number
person
Provider Business Mailing Address Details
Address
4771 Hylan Blvd
City
Staten Island
State
New York
Zip
10312-6315
Phone Number
973-216-9898
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Diabetes Educator
Taxonomy
163WD0400X
License No.
F340111-1 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Nurse Massage Therapist (NMT)
Taxonomy
163WM1400X
License No.
F300719-1 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
26NN06671900 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
314022-1 (New York)
Definition
Definition to come...
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