Organization · Type 2 NPI

Robert J Fanning, JR

Specialist · Wheeling, WV

NPI number 1376644625 Active

Practice location

1307 Mount De Chantal Rd
Wheeling, WV 26003-6334

Call (304) 242-1273 Map

Fax (304) 242-1422

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X1431 (WV)
Nurse Practitioner 363L00000X46155 (WV)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1376644625

Robert J Fanning, JR's National Provider Identifier is 1376644625, issued on Sep 26, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Wheeling, WV. The record was last updated on Nov 25, 2014.