Individual
MRS. MARYANN FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
33 3RD ST SE STE 201, HURON, SD 57350-2064
(605) 554-0858
(605) 610-4063
Mailing address
23805 290TH ST, TUTHILL, SD 57574-6112
(605) 685-6878
(605) 685-6878
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP000853
SD
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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