Lavenia Fain
Nurse Practitioner, Psych/Mental Health in Bala Cynwyd, PA. Individual provider (NPI-1).
NPI number1649697202
StatusActive
Last updated in NPPESOct 13, 2026
Details
- NPI
- 1649697202
- Entity type
- Individual (NPI-1)
- Name
- Lavenia Fain
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2014
- Certification date
- Oct 13, 2026
- Last updated
- Oct 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | SP025249 | PA | Yes |
| 363LF0000X | Nurse Practitioner, Family | SP013612 | PA | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | NP95025323 | CA | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | L8-0010842 | DE | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | 26NJ01462700 | NJ |
Practice location
333 E City AveSuite 300 Pmb #2068
Bala Cynwyd, PA 19004
Phone 267-281-4884
Mailing address
333 E City AveSuite 300 Pmb #2068
Bala Cynwyd, PA 19004
Phone 267-281-4884
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