Individual
MRS. KAITLYN BREANNA FABIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-0001
(570) 205-3987
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP024468
PA
363LW0102X
Women's Health Nurse Practitioner
SP024468
PA
Other
Enumeration date
10/18/2021
Last updated
11/11/2021
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