Individual
ABBE C FANNIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1416 GEORGE DIETER DR, EL PASO, TX 79936-7601
(915) 494-4588
Mailing address
PO BOX 41, MUNCIE, IN 47308-0041
(765) 284-0493
(765) 284-2434
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
647336
TX
Other
Enumeration date
07/13/2005
Last updated
09/04/2013
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