Individual
ANA FAWCETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
604 S MCKENZIE ST APT 2, MOUNT VERNON, OH 43050-4168
(740) 398-8147
Mailing address
604 S MCKENZIE ST APT 2, MOUNT VERNON, OH 43050-4168
(740) 398-8147
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4204789
—
OH
Enumeration date
10/28/2021
Last updated
10/28/2021
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