Fanning, Mary Theresa
Fanning, Mary Theresa is an individual health care provider with primary practice located at 2350 Freedom Way Ste 200 , York PA 17402-8200. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fanning, Mary Theresa can be contacted via phone (717) 812-5120.Contact Information
Primary practice address
2350 Freedom Way Ste 200
York PA 17402-8200
Phone: (717) 812-5120
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | SP018724 | Pennsylvania |
Profile Details
| NPI number | 1194219097 |
|---|---|
| LBN Legal business name | Fanning, Mary Theresa |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2018 |
| Last updated | Jan 24th, 2020 - about 5 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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