Fannin, Anne Louise

Fannin, Anne Louise is an individual health care provider with primary practice located at 855 N Euclid Ave , Ontario CA 91762-2729. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Fannin, Anne Louise can be contacted via phone (909) 983-2020.

Contact Information

Primary practice address
855 N Euclid Ave Ontario CA 91762-2729
Phone: (909) 983-2020
Fax: (909) 983-6847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 390109 California

Profile Details

NPI number 1720457906
LBN Legal business name Fannin, Anne Louise
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2015
Last updated Sep 17th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720457906 NPPES
California MEDICAID 95-1946482

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