Individual
MRS. KATHRYN HOUSE FANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
12512 BRUCE B DOWNS BLVD, TAMPA, FL 33612-9209
(813) 977-8700
(813) 903-0479
Mailing address
9086 QUAIL CREEK DR, TAMPA, FL 33647-2229
(813) 973-3140
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2091032
FL
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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