Individual provider · Type 1 NPI
Kathryn House Fanning, A.R.N.P.
Psychiatric/Mental Health Nurse Practitioner · Tampa, FL
NPI number
1083620025
Active
Practice location
12512 Bruce B Downs Blvd
Tampa, FL 33612-9209
Fax (813) 903-0479
Mailing address
9086 Quail Creek Dr
Tampa, FL 33647-2229
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2091032 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1083620025
Kathryn House Fanning, A.R.N.P.'s National Provider Identifier is 1083620025, issued on Jul 31, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tampa, FL. The record was last updated on Jul 8, 2007.