KILEY ELIZABETH FAIR

PROVIDENCE, RI
NPI1841832235
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner Gerontology
(Licence: RI  APRN02024)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: RI  APRN02024)
363LA2100X Nurse Practitioner Acute Care
(Licence: RI  APRN02024)
Enumeration Date2019-10-17
Last Update Date2022-12-13
Business Address
KILEY ELIZABETH FAIR AGACNP
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-3565
Mailing Address
KILEY ELIZABETH FAIR AGACNP
110 ELM ST
PROVIDENCE, RI 02903-4626
Phone number: 401-443-4992