IndividualActive
Constance Fair, PA
NPI 1720227309 · Perioperative Clinical Nurse Specialist · Philadelphia, PA
Provider details
- NPI number
- 1720227309
- Entity type
- Individual
- Primary specialty
- Perioperative Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 0010-01710 (NC)
Mailing address
401 Witley Rd
Wynnewood, PA 19096-2424
Registry dates
- Enumerated
- 2009-02-05
- Last updated
- 2021-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.