Individual provider · Type 1 NPI
Fanny Mak, FNP-BC
Family Nurse Practitioner · Chattanooga, TN
NPI number
1801042536
Active
Practice location
1101 Market St, BR-3D
Chattanooga, TN 37402-2881
Mailing address
PO Box 5156
Chattanooga, TN 37406-0156
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 12104 (TN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1801042536
Fanny Mak, FNP-BC's National Provider Identifier is 1801042536, issued on Aug 13, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Chattanooga, TN. The record was last updated on Aug 13, 2008.