Beretay, Fanta

Beretay, Fanta is an sole proprietor health care provider with primary practice located at 5783 Daffodil Ct , Grove City OH 43123-9456. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Beretay, Fanta can be contacted via phone (614) 991-4895.

Contact Information

Primary practice address
5783 Daffodil Ct Grove City OH 43123-9456
Phone: (614) 991-4895
Fax: (614) 991-4895
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRNCNP020429 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.020429 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN.CNP.020429 Ohio

Profile Details

NPI number 1801045695
LBN Legal business name Beretay, Fanta
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2008
Last updated Jun 28th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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