Healthcare Provider Details

I. General information

NPI: 1558294835
Provider Name (Legal Business Name): FAITH IN BEAUTY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 MAIN ST UNIT 103
MEDWAY MA
02053-1584
US

IV. Provider business mailing address

165 MAIN ST UNIT 103
MEDWAY MA
02053-1584
US

V. Phone/Fax

Practice location:
  • Phone: 774-217-1495
  • Fax:
Mailing address:
  • Phone: 774-217-1495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: TRACY L FYE
Title or Position: OWNER
Credential: ARNP
Phone: 774-217-1495