Fanous, Georgene A

Fanous, Georgene A is an sole proprietor health care provider with primary practice located at 850 Brainard Road , Highland Hts. OH 44143. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fanous, Georgene A can be contacted via phone (440) 995-4500.

Contact Information

Primary practice address
850 Brainard Road Highland Hts. OH 44143
Phone: (440) 995-4500
Fax: (440) 995-4585
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP-06103 Ohio

Profile Details

NPI number 1396891826
LBN Legal business name Fanous, Georgene A
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2007
Last updated Oct 15th, 2010 - about 14 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 1396891826 NPPES
Ohio Other NP-06103 CERTIFIED NURSE PRACTITIO

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