Individual provider · Type 1 NPI

Corinne Fanta

Gerontology Nurse Practitioner · Edina, MN

NPI number 1871303263 Active

Practice location

6401 France Ave S
Edina, MN 55435-2104

Mailing address

4039 41st Ave S
Minneapolis, MN 55406-3419

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X12448 (MN)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1871303263

Corinne Fanta's National Provider Identifier is 1871303263, issued on Jan 8, 2025. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Edina, MN. The record was last updated on Jan 13, 2025.