MEDICARE: MRS. ERICA FAHME MSN, RN, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WS0200X	School Registered Nurse	641500	NY

General Provider Information

NPI Number	:	1316828296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ERICA FAHME MSN, RN, FNP-BC

Provider Business Mailing Address
First Line	:	64 JEROME AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10305-3602
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	64 JEROME AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10305-3602
Country	:	US
Telephone Number	:	718-673-0007
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2025
Last Update Date	:	09/09/2025

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