MRS. Alicia Brooke Fanning, RN

NPI #1255852216 in Tullahoma, Tennessee

Provider Information

NPI Number
1255852216
Entity Type
Individual
Name
MRS. Alicia Brooke Fanning, RN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse
Credential
RN
Enumeration Date
Jun 29, 2017
Last Updated
Mar 17, 2018

Practice Location

Address
1905 N JACKSON ST
ZIP Code
37388-2200
Phone
(931) 461-1300

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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