Doctor Name: | MRS. KAREN JOYCE FAHEY |
NPI Number: | 1003056250 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN,APN,ANP-BC,CORLN |
License Number: | 209.006373 |
Business Practice Address: | 2525 Kaneville Rd Geneva, IL - 601342578 |
Business Phone Number: | 6305841400 |
Business Fax Number: | |
Mailing Address: | 2525 Kaneville Rd, GENEVA |
State: | IL |
Postal Code: | 601342578 |
Phone Number: | 6305841400 |
Fax Number: | |
NPI Enumeration Date: | 03/01/2009 |
NPI Last Update Date: | 08/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 209.006373 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |