Individual
PATRICK ADAM FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2029
(205) 759-7122
Mailing address
11676 BRANT WARD RD, COTTONDALE, AL 35453-3127
(205) 799-4575
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-171865
AL
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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