Individual
KAITLYN NICOLE FANNIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
240 PARSONS AVE, COLUMBUS, OH 43215-5331
(614) 645-5462
Mailing address
1540 FOX FIRE DR, MARYSVILLE, OH 43040-7024
(614) 493-7072
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APRN.CNP.0033154
OH
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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