person
David Fawks, ARNP
Psychiatric/Mental Health Nurse Practitioner in Venice, Florida
NPI 1922094937

David Fawks is a Psychiatric/Mental Health Nurse Practitioner based in Venice, FL and is specialized in Psychiatric/Mental Health. David Fawks practices in Venice, FL and has the professional credentials of ARNP. The NPI Number for David Fawks is 1922094937 and holds a License No. ARNP1799382 (Florida).

The current practice location address for David Fawks is 1790 E Venice Ave, Venice, FL and can be reached out via phone at 941-488-8884 and via fax at 941-488-5554. You can also correspond with David Fawks through the mailing address at 1790 E VENICE AVE, VENICE, FL - 34292-3191 (mailing address contact number: 941-488-8884).

Location: 1790 E Venice Ave, Venice, FL, 34292-3191
person
Provider Profile Details
NPI Number
1922094937
Provider Name
David Fawks
Credential
ARNP
Provider Entity Type
Individual
Gender
Male
Address
1790 E Venice Ave, Venice, FL, 34292-3191
Phone Number
941-488-8884
Fax Number
941-488-5554
Provider Enumeration Date
09/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
Y7307 01 FL BCBS FLORIDA
2080449 01 FL CIGNA
7305448 01 FL AETNA
304079800 05 FL
283694-000 01 FL MAGELLAN
P00068887 01 FL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1790 E Venice Ave
City
State
Zip
34292-3191
Phone Number
941-488-8884
Fax Number
941-488-5554
person
Provider Business Mailing Address Details
Address
1790 E Venice Ave
City
State
Zip
34292-3191
Phone Number
941-488-8884
Fax Number
941-488-5554
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
ARNP1799382 (Florida)
Definition
Definition to come...
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