Provider Demographics
NPI:1013962943
Name:FABIAN, NANCY CATHERINE (RN ACNP)
Entity Type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:CATHERINE
Last Name:FABIAN
Suffix:
Gender:F
Credentials:RN ACNP
Other - Prefix:MS
Other - First Name:NANCY
Other - Middle Name:CATHERINE
Other - Last Name:GROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN ACNP
Mailing Address - Street 1:5 BOSTWICK LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-3106
Mailing Address - Country:US
Mailing Address - Phone:804-675-5444
Mailing Address - Fax:804-675-5420
Practice Address - Street 1:1201 BROAD ROCK BLVD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23249-0001
Practice Address - Country:US
Practice Address - Phone:804-675-5444
Practice Address - Fax:804-675-5420
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA001713748363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care