Individual
JANETTE ELLEN FANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9348 GRAND CORDERA PKWY STE 160, COLORADO SPRINGS, CO 80924-7023
(719) 355-1585
(719) 623-2983
Mailing address
9348 GRAND CORDERA PKWY STE 160, COLORADO SPRINGS, CO 80924-7023
(719) 355-1585
(719) 623-2983
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0998029-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APN.0998029-NP
NP-APN LICENSE
CO
01
—
RN.1685015
RN LICENSE
CO
01
—
RXN.0107009-NP
NP-RX LICENSE
CO
Enumeration date
10/22/2018
Last updated
09/17/2024
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