Individual
CARA FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3483 S EASTERN AVE, LAS VEGAS, NV 89169-3314
(702) 399-3299
(702) 252-4405
Mailing address
7021 SADDLE BACK PEAK ST, LAS VEGAS, NV 89166-7127
(702) 287-0748
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11377
NV
207RI0200X
Infectious Disease Physician
Primary
11377
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506333
—
NV
Enumeration date
10/11/2005
Last updated
01/07/2020
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