Individual
RACHAEL M FANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11631 NE 73RD ST, KIRKLAND, WA 98033-8107
(757) 679-5653
Mailing address
11631 NE 73RD ST, KIRKLAND, WA 98033-8107
(757) 679-5653
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
0001275657
VA
163WE0003X
Emergency Registered Nurse
Primary
95255916
CA
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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