Individual
AMIE LYNN FANNIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
613 23RD ST STE 430, ASHLAND, KY 41101-2885
(606) 408-8200
(606) 408-6291
Mailing address
247 BEACON HILL RD, MOREHEAD, KY 40351-6030
(606) 784-1115
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3016180
KY
Other
Enumeration date
12/13/2007
Last updated
11/09/2023
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