KATHALINA RENEE FABIAN-FONTENOT


Address: 45 Wells St Ste 104, Westerly, RI 02891-2927
Phone: 4013480008

KATHALINA RENEE FABIAN-FONTENOT (NPI# 1386152528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386152528
Entity Type Individual
Full Name KATHALINA RENEE FABIAN-FONTENOT
Practice Address 45 Wells St Ste 104
Westerly
RI 02891-2927
Mailing Address 36 Old Colony Rd
North Stonington
CT 06359-1523
Practice Telephone 4013480008
Enumeration Date 2018-01-22
Last Update Date 2018-01-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LX0001X Nurse Practitioner
Specialization: Obstetrics & Gynecology
CNM00168 RI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 45 WELLS ST STE 104
City WESTERLY
State RI
Zip Code 02891-2927

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Taxonomy Information

Taxonomy Code 363LX0001X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Obstetrics & Gynecology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1528127479 Laurie Telfer-whelan Nurse Practitioner 695 Eddy Street, Providence, RI 02905 2006-12-06
1205380698 Heather Nisbet Nurse Practitioner 390 Toll Gate Rd, Warwick, RI 02886-4488 2016-08-15
1356470629 Ann Mary Cooper Nurse Practitioner 101 Dudley St, Providence, RI 02905-2401 2007-03-05
1497815526 Linda Moulton Nurse Practitioner 101 Dudley St, Providence, RI 02905-2401 2006-12-11
1972696938 Joan Wallace Nurse Practitioner 297 Promenade St, Providence, RI 02908-5720 2006-10-02
1568453413 Mary Padbury Nurse Practitioner 100 Curtis St, Providence, RI 02909-3623 2005-10-31

Competitor

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City WESTERLY
Zip Code 02891

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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