Individual provider · Type 1 NPI

Adam Thomas Fannin, MSN, MHA, APRN-CNP

Critical Care Medicine Registered Nurse · Charleston, WV

NPI number 1275415580 Active

Practice location

3100 Maccorkle Ave SE Ste 205
Charleston, WV 25304-1228

Mailing address

3417 Virginia Ave SE
Charleston, WV 25304-1308

Other practice locations

  • 800 Pennsylvania Ave, Charleston, WV 25302-3351 · (304) 388-5432
  • 3200 Maccorkle Ave SE, Charleston, WV 25304-1227 · (304) 388-5432
  • 1400 Hospital Dr, Hurricane, WV 25526-9202 · (304) 757-1700
  • 501 Morris St, Charleston, WV 25301-1326 · (304) 388-5432

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse Primary 163WC0200X108310 (WV)
Nurse Practitioner 363L00000X108310 (WV)

Critical Care Medicine Registered Nurse: Definition to come...

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About NPI 1275415580

Adam Thomas Fannin, MSN, MHA, APRN-CNP's National Provider Identifier is 1275415580, issued on Jul 25, 2025. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Charleston, WV. The record was last updated on Oct 27, 2025.