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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CONSTANCE S FAIR, PA

Active

Primary Care Clinical Nurse Specialist · PHILADELPHIA, PA

Registration Details

NPI Number
1720227309
Provider Type
Individual
Gender
Female
NPI Issued
Feb 5, 2009 (17.210698180165 yrs)
Last Updated
Jun 22, 2021
Licenses
0010-01710 (NC)
MA060918 (PA)

Practice Information

Address
3900 WOODLAND AVE
PHILADELPHIA, PA, 191044551
Browse PA providers · Browse ZIP 19104
Phone
2522419898
Primary Specialty
Primary Care Clinical Nurse Specialist
364SP2800X

Other Primary Care Clinical Nurse Specialist Providers in PHILADELPHIA, PA

Name Credential NPI
CHERYL L POWELL PA 1336493246
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.