Individual provider · Type 1 NPI

Concepcion Fanous, APRN, FNP-C

Family Nurse Practitioner · Tyler, TX

NPI number 1366150260 Active

Practice location

2737 S Broadway Ave
Tyler, TX 75701-5445

Call (903) 592-6000 Map

Fax (903) 592-3224

Mailing address

PO Box 6605
Tyler, TX 75711-6605

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	1197042 (TX)

Family Nurse Practitioner: Definition to come...

21 other providers at this address

Charles R Gordon MD PACommunity/Retail Pharmacy Tyler, TX NPI 1346670726
Charles R Gordon MD PANeurological Surgery Physician Tyler, TX NPI 1982717955
Aaron Calodney, MDPain Medicine Physician Tyler, TX NPI 1396707121
Ameer Syed Ali, DOPain Medicine (Physical Medicine & Rehabilitation) Physician Tyler, TX NPI 1982065561
Andrew Thomas Vest, DOInternal Medicine Physician Tyler, TX NPI 1548899305
Andy Juney Redmond, MDNeurological Surgery Physician Tyler, TX NPI 1831373042
Betty Louise Vale, R.N., M.S.N, NP-CFamily Nurse Practitioner Tyler, TX NPI 1356596910
Charles R. Gordon, MDNeurological Surgery Physician Tyler, TX NPI 1164535142
Charles Raymond Walker, PhDClinical Neuropsychologist Tyler, TX NPI 1609068071
Constance S. Bentley, APRNNurse Practitioner Tyler, TX NPI 1447243571
Ellisiv Lien, MDPhysical Medicine & Rehabilitation Physician Tyler, TX NPI 1265670749
James E. Wortham, P.A.Physician Assistant Tyler, TX NPI 1285747261

Other family nurse practitioner providers in Tyler

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About NPI 1366150260

Concepcion Fanous, APRN, FNP-C's National Provider Identifier is 1366150260, issued on Nov 9, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tyler, TX. The record was last updated on Apr 15, 2026.