Provider Demographics
NPI:1962865501
Name:FARO, KATHRYN (MSN, RN, FNP-C)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:FARO
Suffix:
Gender:F
Credentials:MSN, RN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2326 S CONGRESS AVE STE 2D
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-7614
Mailing Address - Country:US
Mailing Address - Phone:855-259-0017
Mailing Address - Fax:
Practice Address - Street 1:2326 S CONGRESS AVE STE 2D
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-7614
Practice Address - Country:US
Practice Address - Phone:855-259-0017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-31
Last Update Date:2020-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9234082363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily