Provider Demographics
NPI:1992741565
Name:FABIAN, CAROLYN ELIZABETH (RN, CRNP)
Entity type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:ELIZABETH
Last Name:FABIAN
Suffix:
Gender:F
Credentials:RN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 WESTOVER DR
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-2760
Mailing Address - Country:US
Mailing Address - Phone:856-428-3822
Mailing Address - Fax:
Practice Address - Street 1:THE CHILDREN'S HOSPITAL OF PHILADELPHIA- VOORHEES
Practice Address - Street 2:1012 LAUREL OAK ROAD
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043
Practice Address - Country:US
Practice Address - Phone:856-783-0287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN07014600363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics