Individual
MRS. NANCY L FANNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, CRNP
Contact information
Practice address
6400 BROOKTREE CT, STE 230, WEXFORD, PA 15090-9271
(724) 933-7117
(724) 933-7119
Mailing address
6400 BROOKTREE CT, STE 230, WEXFORD, PA 15090-9271
(724) 933-7117
(724) 933-7119
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
VP001180G
PA
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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