MEDICARE: DAVID C FAZEKAS

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	367500000X	Certified Registered Nurse Anesthetist	RN506354L	PA

General Provider Information

NPI Number	:	1972783850
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID C FAZEKAS

Provider Business Mailing Address
First Line	:	2703 MIRROR LAKE DR
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28303-5213
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2703 MIRROR LAKE DR
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28303-5213
Country	:	US
Telephone Number	:	610-282-5678
Fax Number	:

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

Provider Enumeration Date	:	11/08/2007
Last Update Date	:	04/22/2022

Similar Medicare Providers

1356650220 — MELANIE GARRETT REEDE PTA
Practice Location Address:

5213 PALMETTO LN
FAYETTEVILLE, NC
28304-4136

Practice Phone: 910-425-7420
Practice Fax:

1568320372 — ALIAH JEMILIZ TRUJILLO-ASHHURST
Practice Location Address:

351 WAGONER DR STE 325
FAYETTEVILLE, NC
28303-4674

Practice Phone: 910-491-0061
Practice Fax:

1629936406 — CANDACE BARBEE
Practice Location Address:

4161 SYCAMORE DAIRY RD
FAYETTEVILLE, NC
28303-3460

Practice Phone: 866-727-8274
Practice Fax:

1982562765 — KYAH CHECCHIO
Practice Location Address:

4161 SYCAMORE DAIRY RD
FAYETTEVILLE, NC
28303-3460

Practice Phone: 866-727-8274
Practice Fax:

1730047945 — DEJA PURDIE
Practice Location Address:

2919 BREEZEWOOD AVE STE 202
FAYETTEVILLE, NC
28303-5283

Practice Phone: 910-263-8986
Practice Fax: 901-401-1771

1689532806 — ERIKA MCDONALD
Practice Location Address:

2919 BREEZEWOOD AVE STE 202
FAYETTEVILLE, NC
28303-5283

Practice Phone: 910-263-8986
Practice Fax: 910-401-1771

Directions to “ DAVID C FAZEKAS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.