Summer Fanning
NPI #1013714963 in East Greenbush, New York
Provider Information
- NPI Number
- 1013714963
- Entity Type
- Individual
- Name
- Summer Fanning
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Feb 27, 2025
- Last Updated
- Feb 27, 2025
Practice Location
- Address
- 73 A TROY RD
- Address 2
- UNIT 2 FIRST FLOOR
- City
- East Greenbush
- State
- New York
- ZIP Code
- 12061
- Phone
- (518) 449-1142
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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