Individual
KILEY ELIZABETH FAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-3565
(401) 444-5493
Mailing address
110 ELM ST, PROVIDENCE, RI 02903-4626
(401) 443-4992
(401) 537-7241
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN02024
RI
363LA2100X
Acute Care Nurse Practitioner
APRN02024
RI
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN02024
RI
Other
Enumeration date
10/17/2019
Last updated
12/13/2022
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