LAVENIA FAIN NPI 1649697202

NPI Information

NPI: 1649697202
Provider Name: LAVENIA FAIN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: PUBLIC HEALTH MANAGEMENT CORPORATION

PECOS Registration: Yes

Address:
5675 N FRONT ST
PHILADELPHIA, PA
ZIP 19120
Phone: (215) 279-9666
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Lavenia Fain is a family nurse practitioner in Philadelphia, PA with 11 years of experience. Lavenia Fain NPI is 1649697202. 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:

5675 N FRONT ST
PHILADELPHIA, PA
ZIP 19120-719
Phone: (215) 279-9666

The NPI 1649697202 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 3/20/2014 and was last updated on 3/20/2014.

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	SP013612	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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