Individual provider · Type 1 NPI
Matthew Clark Fanning, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Tuscaloosa, AL
NPI number
1699568444
Active
Practice location
1401 Greensboro Ave
Tuscaloosa, AL 35401-2842
Mailing address
3709 Diamond Ln
Northport, AL 35473-2642
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1-105627 (AL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1699568444
Matthew Clark Fanning, PMHNP-BC's National Provider Identifier is 1699568444, issued on May 26, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Tuscaloosa, AL. The record was last updated on May 26, 2025.