Alice J Fanning, FNP
NPI #1235423658 in Haynesville, Louisiana
Provider Information
- NPI Number
- 1235423658
- Entity Type
- Individual
- Name
- Alice J Fanning, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Jun 2, 2011
- Last Updated
- Jun 2, 2011
Practice Location
- Address
- 926 FRANCES DR
- City
- Haynesville
- State
- Louisiana
- ZIP Code
- 71038-6100
- Phone
- (318) 624-0554
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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