CONSTANCE S FAIR PA NPI 1720227309

NPI Information

NPI: 1720227309
Provider Name: CONSTANCE S FAIR, PA
Classification: Clinical Nurse Specialist - 364SP2800X
Entity Type: Individual

Specialization: Perioperative

PECOS Registration: Yes

Address:
3900 WOODLAND AVE
PHILADELPHIA, PA
ZIP 19104
Phone: (252) 241-9898
Get Directions

Constance S Fair, PA is a perioperative clinical nurse specialist in Philadelphia, PA. Constance S Fair, PA NPI is 1720227309. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3900 WOODLAND AVE
PHILADELPHIA, PA
ZIP 19104-551
Phone: (252) 241-9898

The NPI 1720227309 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/5/2009 and was last updated on 6/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		0010-01710	NORTH CAROLINA	No
2	364SP2800X	Clinical Nurse Specialist	Perioperative	MA060918	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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