Individual provider · Type 1 NPI
Danielle Elys Fanning
Pediatric Nurse Practitioner · Atlanta, GA
NPI number
1336056431
Active
Practice location
1520 Clifton Rd NE
Atlanta, GA 30322-4201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | RN329027 (GA) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1336056431
Danielle Elys Fanning's National Provider Identifier is 1336056431, issued on Aug 25, 2026. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Atlanta, GA. The record was last updated on Aug 25, 2026.