Individual
REBECCA ELIZABETH FANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
951 HICKORY CREEK DR, TEMPERANCE, MI 48182-2327
(734) 206-8200
Mailing address
3078 S CUSTER RD, MONROE, MI 48161-9772
(313) 287-8845
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704274218
MI
Other
Enumeration date
05/03/2023
Last updated
12/09/2024
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