Individual
MS. NANCY JO FANTETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2002 S 11TH ST, NILES, MI 49120-4074
(269) 687-0200
(269) 684-0199
Mailing address
2002 S 11TH ST, NILES, MI 49120-4074
(269) 687-0200
(269) 684-0199
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28125230A
IN
363LF0000X
Family Nurse Practitioner
Primary
4704206107
MI
Other
Enumeration date
05/16/2012
Last updated
08/15/2023
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