Doctor Name: | MRS. KATE COLLINS FABER |
NPI Number: | 1902883044 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | 246216 |
Business Practice Address: | 301 North B St. Zuni, NM - 873270467 |
Business Phone Number: | 5057827357 |
Business Fax Number: | |
Mailing Address: | Po Box 467, ZUNI |
State: | NM |
Postal Code: | 873270467 |
Phone Number: | 5057824431 |
Fax Number: | |
NPI Enumeration Date: | 12/29/2005 |
NPI Last Update Date: | 03/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 246216 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |