Fairfax Acne & Dermatology Services, PC
Nurse Practitioner in East Providence, Rhode Island
1245947332- Practice location
- 1275 Wampanoag Trail, Ste. 6, East Providence, RI 02915-1217
- Phone
- 508-404-4853
- Fax
- —
- Last updated
- October 31, 2022
Fairfax Acne & Dermatology Services, PC is a healthcare organization based in East Providence, RI. Fairfax Acne & Dermatology Services, PC practices in East Providence, RI. The NPI Number for Fairfax Acne & Dermatology Services, PC is 1245947332. The current practice location address for Fairfax Acne & Dermatology Services, PC is 1275 Wampanoag Trail, Ste. 6, East Providence, RI 02915-1217 and can be reached out via phone at 508-404-4853.
Provider Profile Details
- NPI Number
- 1245947332
- Provider Name
- Fairfax Acne & Dermatology Services, PC
- Provider Entity Type
- Organization
- Address
- 1275 Wampanoag Trail, Ste. 6, East Providence, RI 02915-1217
- Phone Number
- 508-404-4853
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Organization Subpart
- No
- Authorized Official
- Diana L Fairfax, DCNP · Owner · 508-404-3853
- Other Names
- Fairfax Acne & Dermatology, PC (Doing Business As)
- Provider Enumeration Date
- October 31, 2022
- Last Update Date
- October 31, 2022
- Certification Date
- October 29, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1275 Wampanoag Trail
Ste. 6
East Providence, RI 02915-1217 - City
- East Providence
- State
- Rhode Island
- Zip
- 02915-1217
- Phone Number
- 508-404-4853
Provider Business Mailing Address Details
- Address
- 1275 Wampanoag Trail
Ste. 6
East Providence, RI 02915-1217 - City
- East Providence
- State
- RI
- Zip
- 02915-1217
- Phone Number
- 508-404-4853
License Information
- Taxonomy
- Nurse Practitioner · 363L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioners near East Providence, RI
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- Beverly W Rich, APRN, BCNurse Practitioner · NPI 1144250747
- Cayla Richardson, FNPNurse Practitioner · NPI 1740943281
- Elizabeth K Welch, NPNurse Practitioner · NPI 1962938720
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Frequently Asked Questions
What is the NPI number of Fairfax Acne & Dermatology Services, PC?
The NPI number of Fairfax Acne & Dermatology Services, PC is 1245947332. It was assigned on October 31, 2022 and is currently active in the NPPES registry.
What is the specialty of Fairfax Acne & Dermatology Services, PC?
Fairfax Acne & Dermatology Services, PC is registered under the primary taxonomy Nurse Practitioner (code 363L00000X).
Where does Fairfax Acne & Dermatology Services, PC practice?
The practice location is 1275 Wampanoag Trail, Ste. 6, East Providence, RI 02915-1217. The office can be reached at 508-404-4853 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245947332 directly on the NPPES registry website.