Individual
IAN DOUGLAS FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
302 MADRID ST, ELSIE, NE 69134-2001
(308) 458-8193
Mailing address
11011 Q ST STE 101C, OMAHA, NE 68137-3700
(402) 697-5121
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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