STEPHANIE LYNN FANOUS NP NPI 1306344122

NPI Information

  • NPI: 1306344122
  • Provider Name: STEPHANIE LYNN FANOUS, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5400 W ROSECRANS AVE STE 100
    HAWTHORNE, CA
    ZIP 90250
  • Phone: (310) 643-8500

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NPI Details

Stephanie Lynn Fanous, NP is a family nurse practitioner in Hawthorne, CA with 9 years of experience. Stephanie Lynn Fanous, NP NPI is 1306344122. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5400 W ROSECRANS AVE STE 100
HAWTHORNE, CA
ZIP 90250-686
Phone: (310) 643-8500

The NPI 1306344122 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/26/2018 and was last updated on 12/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily95008438CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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