Individual provider · Type 1 NPI

Mary Theresa Fanning, CRNP

Family Nurse Practitioner · York, PA

NPI number 1194219097 Active

Practice location

2350 Freedom Way Ste 200
York, PA 17402-8200

Mailing address

19 Circle Dr
Glen Rock, PA 17327-1341

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XSP018724 (PA)

Family Nurse Practitioner: Definition to come...

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About NPI 1194219097

Mary Theresa Fanning, CRNP's National Provider Identifier is 1194219097, issued on Jun 15, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in York, PA. The record was last updated on Jan 24, 2020.