Individual provider · Type 1 NPI
Nancy L. Fannie, RNC, CRNP
Gerontology Nurse Practitioner · Wexford, PA
NPI number
1104028752
Active
Practice location
6400 Brooktree Ct, Ste 230
Wexford, PA 15090-9271
Fax (724) 933-7119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | VP001180G (PA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1104028752
Nancy L. Fannie, RNC, CRNP's National Provider Identifier is 1104028752, issued on Jun 5, 2007. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Wexford, PA. The record was last updated on Jul 8, 2007.