Individual provider · Type 1 NPI

Alice A. Fannin, PA

Physician Assistant · Worcester, MA

NPI number 1649240896 Active

Practice location

630 Plantation St
Worcester, MA 01605

Call (508) 595-2000 Map

Fax (508) 853-7149

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X1422 (MA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1649240896

Alice A. Fannin, PA's National Provider Identifier is 1649240896, issued on Jan 23, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Worcester, MA. The record was last updated on Jul 13, 2026.