Fairlawn Primary Care, INC
Nurse Practitioner, Family in Pawtucket, Rhode Island
1508898909- Practice location
- 886 Mineral Spring Ave, Pawtucket, RI 02860-3322
- Phone
- 401-475-3063
- Fax
- —
- Last updated
- September 11, 2025
Fairlawn Primary Care, INC is a healthcare organization based in Pawtucket, RI. Fairlawn Primary Care, INC practices in Pawtucket, RI. The NPI Number for Fairlawn Primary Care, INC is 1508898909 and holds a License No. 09843 (RI). The current practice location address for Fairlawn Primary Care, INC is 886 Mineral Spring Ave, Pawtucket, RI 02860-3322 and can be reached out via phone at 401-475-3063.
Provider Profile Details
- NPI Number
- 1508898909
- Provider Name
- Fairlawn Primary Care, INC
- Provider Entity Type
- Organization
- Address
- 886 Mineral Spring Ave, Pawtucket, RI 02860-3322
- Phone Number
- 401-475-3063
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Organization Subpart
- No
- Authorized Official
- Ms. Holly Fernandes · President · 401-475-3063
- Provider Enumeration Date
- July 7, 2006
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 886 Mineral Spring Ave
Pawtucket, RI 02860-3322 - City
- Pawtucket
- State
- Rhode Island
- Zip
- 02860-3322
- Phone Number
- 401-475-3063
Provider Business Mailing Address Details
- Address
- 886 Mineral Spring Ave
Pawtucket, RI 02860-3322 - City
- Pawtucket
- State
- RI
- Zip
- 02860-3322
License Information
- License Number (1)
- 09843
- License State (1)
- RI
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- NPP37132
- License State (2)
- RI
- Taxonomy (2)
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Family providers near Pawtucket, RI
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Frequently Asked Questions
What is the NPI number of Fairlawn Primary Care, INC?
The NPI number of Fairlawn Primary Care, INC is 1508898909. It was assigned on July 7, 2006 and is currently active in the NPPES registry.
What is the specialty of Fairlawn Primary Care, INC?
Fairlawn Primary Care, INC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in RI under license number 09843.
Where does Fairlawn Primary Care, INC practice?
The practice location is 886 Mineral Spring Ave, Pawtucket, RI 02860-3322. The office can be reached at 401-475-3063 (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 1508898909 directly on the NPPES registry website.