Individual provider · Type 1 NPI

Brian Fondren, FNP-C

Family Nurse Practitioner · Chicago, IL

NPI number 1063889210 Active

Practice location

820 S Damen Ave
Chicago, IL 60612-3728

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	209.012603 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1063889210

Brian Fondren, FNP-C's National Provider Identifier is 1063889210, issued on Aug 24, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chicago, IL. The record was last updated on Aug 24, 2015.