Brooke Fanning, PA

NPI #1891522371 in Lima, Ohio

Provider Information

NPI Number: 1891522371
Entity Type: Individual
Name: Brooke Fanning, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 18, 2024
Last Updated: Feb 6, 2026

Practice Location

Address: 830 W HIGH ST STE 360
City: Lima
State: Ohio
ZIP Code: 45801-3985
Phone: (419) 227-7117

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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