MS. Johnnie Lauraetta Fanner, NP
NPI #1568564383 in San Antonio, Texas
Provider Information
- NPI Number
- 1568564383
- Entity Type
- Individual
- Name
- MS. Johnnie Lauraetta Fanner, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Religious Nonmedical Nursing Personnel
- Credential
- NP
- Enumeration Date
- Sep 2, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 7400 MERTON MINTER ST
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78229-4404
- Phone
- (210) 617-5300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Religious Nonmedical Nursing Personnel |
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Organizations
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|---|---|
| Sharon R. Haynes |
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