LOUISE FANNING NPI 1962765859

NPI Information

Louise Fanning is a specialist in Wantagh, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Louise Fanning NPI is 1962765859. 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:

3669 BERNE RD
WANTAGH, NY
ZIP 11793-113
Phone: (516) 785-3485

The enumeration date for this NPI number is 6/17/2012 and was last updated on 6/17/2012.

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:

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