Individual
MRS. DEBORRAH G FANCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1478 W MAIN ST, NEWARK, OH 43055-3687
(740) 683-0413
Mailing address
1708 DREW AVE, COLUMBUS, OH 43235-7400
(614) 459-2642
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.14217-NP
OH
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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