Individual
MRS. HOLLY ANNE MORNING-FANNIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
4 CHATEAU GROVE LANG, BARBOURSVILLE, WV 25504
(304) 736-4000
(304) 736-4751
Mailing address
1340 HAL GREER BLVD, ATTN: TAMMIE SILVA, HUNTINGTON, WV 25701-3800
(304) 526-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
70774
WV
363L00000X
Nurse Practitioner
COA.15773-NP
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN70774
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0106232
MEDICAID
OH
05
—
0106232
—
OH
05
—
1164834651
—
WV
05
—
7100306410
—
KY
Enumeration date
06/02/2014
Last updated
03/31/2022
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