Individual
CLAIRE CHRISTINE FANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 S 70TH ST, LINCOLN, NE 68510-2462
(402) 219-7142
Mailing address
7150 HOLMES PARK RD APT 307, LINCOLN, NE 68506-4685
(402) 358-0734
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/12/2022
Last updated
10/02/2023
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