Individual
LINDSEY BRYANT FANNIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN250418
GA
207RI0200X
Infectious Disease Physician
Primary
RN250418
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN250418
REGISTERED NURSE LICENSE
GA
Enumeration date
09/11/2021
Last updated
09/11/2021
Update your record
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