Individual
NATALIA FANANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2 LATHROP AVE, NORWICH, CT 06360-2340
(860) 204-0332
(860) 204-0115
Mailing address
712 PUTNAM PIKE, CHEPACHET, RI 02814-1403
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6387
CT
Other
Enumeration date
03/20/2023
Last updated
03/13/2024
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