IndividualActive
Kathleen Fava, ACNP-BC
NPI 1053682765 · Acute Care Nurse Practitioner · Providence, RI
Provider details
- NPI number
- 1053682765
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ACNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- RN34380 (RI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
593 Eddy Street, Jane Brown, 2 South
Providence, RI 02903-4923
Phone: (401) 444-5943
Fax: (401) 444-4216
Approximate (ZIP-level) locationGet directions
Mailing address
117 Ellenfield St Ste 101
Providence, RI 02905-4513
Additional practice locations (1)
- 593 Eddy StProvidence, RI 02903-4923Phone: (401) 444-5943Fax: (401) 444-4216
Registry dates
- Enumerated
- 2012-01-26
- Last updated
- 2018-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.