Fairfax Acne & Dermatology Services, PC
Fairfax Acne & Dermatology Services, PC is a Nurse Practitioner in East Providence, Rhode Island. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1275 Wampanoag Trl Ste 6East Providence, RI 02915-1217
Phone: (508) 404-4853
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X |
|---|
Record details
| NPI number | 1245947332 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Diana Fairfax — Owner · (508) 404-3853 |
| Other names | Fairfax Acne & Dermatology, Pc |
| NPI enumerated | October 31, 2022 |
| Last updated in NPPES | October 31, 2022 |
| Certification date | October 29, 2022 |
| Mailing address | 1275 Wampanoag Trail, Ste. 6, East Providence, RI 02915-1217 |
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