Fanner, Johnnie Lauraetta

Fanner, Johnnie Lauraetta is an individual health care provider with primary practice located at 7400 Merton Minter St , San Antonio TX 78229-4404. She recently has only one registered license in Nursing Service Related Providers / Religious Nonmedical Nursing Personnel, which is considered as her primary health care specialty. Fanner, Johnnie Lauraetta can be contacted via phone (210) 617-5300.

Contact Information

Primary practice address
7400 Merton Minter St San Antonio TX 78229-4404
Phone: (210) 617-5300
Fax: (210) 949-3452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Religious Nonmedical Nursing Personnel 374T00000X 221594 Texas

Profile Details

NPI number 1568564383
LBN Legal business name Fanner, Johnnie Lauraetta
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Jul 8th, 2007 - about 18 years ago

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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