Provider Type Icon

ANDROMEDA FAIR CRNP NPI 1326401761


NPI Information

NPI: 1326401761
Provider Name: ANDROMEDA FAIR, CRNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
240 W 11TH ST
SUITE 102
ERIE, PA
ZIP 16501
Phone: (814) 453-4718
Get Directions

Andromeda Fair, CRNP is a women's health nurse practitioner in Erie, PA with 8 years of experience. Andromeda Fair, CRNP NPI is 1326401761. 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:

240 W 11TH ST
SUITE 102
ERIE, PA
ZIP 16501-758
Phone: (814) 453-4718

The NPI 1326401761 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 4/2/2016 and was last updated on 5/5/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered NurseRN.382551OHIONo
2163W00000XRegistered NurseRN642005PENNSYLVANIANo
3363LW0102XNurse PractitionerWomen's HealthSP016598PENNSYLVANIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.