Fairlawn Primary Care, INC
Nurse Practitioner, Family in Pawtucket, RI. Organization (NPI-2).
NPI number1508898909
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1508898909
- Entity type
- Organization (NPI-2)
- Legal business name
- Fairlawn Primary Care, INC
- Organization subpart
- No
- Enumeration date
- Jul 7, 2006
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | NPP37132 | RI | Yes |
| 207R00000X | Internal Medicine | 09843 | RI |
Practice location
886 Mineral Spring AvePawtucket, RI 02860-3322
Phone 401-475-3063
Mailing address
886 Mineral Spring AvePawtucket, RI 02860-3322
Authorized official
Holly Fernandes
President
4014753063
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Other Family Nurse Practitioner providers in Pawtucket, RI
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- Philomene FortesNPI 1235568171
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All 22 Family Nurse Practitioner providers in Pawtucket · All 1,697 providers in Pawtucket
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