Fantetti, Nancy Jo

Fantetti, Nancy Jo is an individual health care provider with primary practice located at 2002 S 11Th St , Niles MI 49120-4074. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fantetti, Nancy Jo can be contacted via phone (269) 687-0200.

Contact Information

Primary practice address
2002 S 11Th St Niles MI 49120-4074
Fax: (269) 684-0199
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28125230A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704206107 Michigan

Profile Details

NPI number 1891054458
LBN Legal business name Fantetti, Nancy Jo
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2012
Last updated Aug 15th, 2023 - about last year

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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