Individual provider · Type 1 NPI

Lewis Dale Fannon, RN, NP

Adult Health Nurse Practitioner · San Francisco, CA

NPI number 1063845832 Active

Practice location

50 Shrader St
San Francisco, CA 94117-1015

Call (415) 668-4166 Map

Mailing address

368 Fell St
San Francisco, CA 94102-5144

Other practice locations

  • 52 Dore St, San Francisco, CA 94103-3828 · (415) 553-3100

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X801999 (CA)
Adult Health Nurse Practitioner Primary 363LA2200X23521 (CA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1063845832

Lewis Dale Fannon, RN, NP's National Provider Identifier is 1063845832, issued on Aug 15, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in San Francisco, CA. The record was last updated on Jan 29, 2019.