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FAIRFAX ACNE & DERMATOLOGY SERVICES, PC
NPI 1245947332
Nurse Practitioner in East Providence, RI

Active since October 31, 2022
1275 WAMPANOAG TRAIL, STE. 6, EAST PROVIDENCE, RI 02915(508) 404-4853 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fairfax Acne & Dermatology Services, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRFAX ACNE & DERMATOLOGY SERVICES, PC (NPI 1245947332), doing business as Fairfax Acne & Dermatology, Pc, is a healthcare organization registered as a nurse practitioner in East Providence, Rhode Island and active in the NPI registry since October 2022. The organization lists Diana L Fairfax, Owner, as its authorized official.

NPPES Registry Identity

NPI1245947332
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameFAIRFAX ACNE & DERMATOLOGY SERVICES, PC
Location Address1275 WAMPANOAG TRAIL, STE. 6East Providence, RI 02915-1217
Mailing Address1275 Wampanoag Trail, Ste. 6East Providence, RI 02915-1217 · (508) 404-4853
Phone(508) 404-4853
Organization SubpartNo
Authorized OfficialDiana L FairfaxOwner · (508) 404-3853
Enumeration DateOctober 31, 2022
NPPES CertifiedOctober 29, 2022
✔ NPI 1245947332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1275 WAMPANOAG TRAIL, East Providence, RI 02915
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Other Names 1

Doing Business AsFairfax Acne & Dermatology, Pc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FINDLEY DERMATOLOGY, LLC
Dermatology (MOHS-Micrographic Surgery)
1275 WAMPANOAG TRAIL, SUITE 6
EAST PROVIDENCE, RI 02915
Providence County (401) 415-8586

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fairfax Acne & Dermatology Services, PC's NPI number?

The NPI number for Fairfax Acne & Dermatology Services, PC is 1245947332. It was assigned to this organization in the NPPES registry on October 31, 2022. The provider is doing business as Fairfax Acne & Dermatology, PC.

Where is Fairfax Acne & Dermatology Services, PC located?

Fairfax Acne & Dermatology Services, PC is located at 1275 Wampanoag Trail Ste. 6, East Providence, RI 02915. The listed phone number is (508) 404-4853.

What is Fairfax Acne & Dermatology Services, PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Fairfax Acne & Dermatology Services, PC was last updated on October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.