Individual provider · Type 1 NPI

Kiersten Marie Fanell, PA-C

Surgical Physician Assistant · Stuart, FL

NPI number 1013894856 Active

Practice location

200 SE Hospital Ave
Stuart, FL 34994-2346

Call (772) 287-5200 Map

Mailing address

200 SE Hospital Ave # 2346
Stuart, FL 34994-2346

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA9120745 (FL)
Surgical Physician Assistant Primary 363AS0400XPA9120745 (FL)

Surgical Physician Assistant: Definition to come...

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About NPI 1013894856

Kiersten Marie Fanell, PA-C's National Provider Identifier is 1013894856, issued on Aug 20, 2025. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Stuart, FL. The record was last updated on Jan 11, 2026.