Individual provider · Type 1 NPI

Tracey Fanfan

Gerontology Nurse Practitioner · Morristown, NJ

NPI number 1962134072 Active

Practice location

100 Madison Ave
Morristown, NJ 07960-6136

Call (973) 971-4287 Map

Fax (973) 290-8325

Mailing address

379 Campus Dr Fl 4
Somerset, NJ 08873-1161

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner	363L00000X	26NJ01266900 (NJ)
Gerontology Nurse Practitioner Primary	363LG0600X	26NJ01266900 (NJ)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1962134072

Tracey Fanfan's National Provider Identifier is 1962134072, issued on Jun 28, 2022. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Morristown, NJ. The record was last updated on Jun 6, 2024.