Fanning, Nicole Suzanne

Fanning, Nicole Suzanne is an individual health care provider with primary practice located at 9000 Franklin Square Dr , Baltimore MD 21237. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Fanning, Nicole Suzanne can be contacted via phone (443) 777-8005.

Contact Information

Primary practice address
9000 Franklin Square Dr Baltimore MD 21237
Phone: (443) 777-8005
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0101256369 Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Virginia
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X D0084730 Maryland

Profile Details

NPI number 1740541291
LBN Legal business name Fanning, Nicole Suzanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2012
Last updated Aug 7th, 2018 - about 7 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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