Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 001713748 | VA |
NPI | 1013962943 |
---|---|
Provider Name | Mrs. Nancy Catherine Fabian |
First Address | Richmond, VA 23226-3106 |
Second Address | Richmond, VA 23249-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2006 |
Last Update Date | 25/08/2014 |