CLIFFORD W FAWCETT CNP NPI 1184649337

NPI Information

NPI: 1184649337
Provider Name: CLIFFORD W FAWCETT, CNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
888 DAYTON ST
SUITE 200
YELLOW SPRINGS, OH
ZIP 45387
Phone: (937) 767-7291
Get Directions

Clifford W Fawcett, CNP is a family nurse practitioner in Yellow Springs, OH. Clifford W Fawcett, CNP NPI is 1184649337. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

888 DAYTON ST
SUITE 200
YELLOW SPRINGS, OH
ZIP 45387-777
Phone: (937) 767-7291
Fax: (937) 767-1302

The enumeration date for this NPI number is 7/12/2006 and was last updated on 11/13/2015.

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	363LF0000X	Nurse Practitioner	Family	UP004512B	PENNSYLVANIA	No
2	363LF0000X	Nurse Practitioner	Family	NP 10074	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	106220	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA
2	H027201	MEDICARE PIN	OHIO
3	Q74402	MEDICARE UPIN	PENNSYLVANIA
4	3108872	MEDICAID	OHIO

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: 4/28/2024

NPI Synchronization or Removal

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