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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY FANNON

Active

MARY FANNON is a Acute Care Nurse Practitioner healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1043933518 is currently active in the NPPES registry. Verify at CMS.

Acute Care Nurse Practitioner · PHILADELPHIA, PA

Registration Details

NPI Number
1043933518
Provider Type
Individual
Gender
Female
NPI Issued
Sep 20, 2022 (3.918155870312 yrs)
Last Updated
Sep 20, 2022
License
SP026285 (PA)

Practice Information

Address
111 S 11TH ST
PHILADELPHIA, PA, 191074824
Browse PA providers · Browse ZIP 19107
Phone
2159556060
Primary Specialty
Acute Care Nurse Practitioner
363LA2100X

Other Acute Care Nurse Practitioner Providers in PHILADELPHIA, PA

Name Credential NPI
NAVEENA BUSHAN NP 1952309007
SUZANNE BARRON NP 1295709145
LIZABETH PIEL CRNP 1184685596
MELANIE A FREAS CRNP 1053373597
LYNDA J TOBIN CRNP 1922060318
KARLA E REILAND CRNP 1063477537
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.