Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. COURTNEY B FAHNHORST VIDRINE, M.D.
Active Sole ProprietorDR. COURTNEY B FAHNHORST VIDRINE, M.D. is a Family Medicine healthcare provider located in SAINT JOHNS, Florida. NPI 1245526466 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SAINT JOHNS, FL
Registration Details
- NPI Number
- 1245526466
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 27, 2011 (15.117160292786 yrs)
- Last Updated
- Oct 13, 2025
- Licenses
-
ME118350 (FL)85566 (GA)ME118350 (FL)ME118350 (FL)ME118350 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
205 TRINITY WAYSAINT JOHNS, FL, 322591155Browse FL providers · Browse ZIP 32259
- Phone
- 9044106040
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
- Additional Specialty
- 207PE0005X
- Additional Specialty
- Hospitalist
Other Family Medicine Providers in SAINT JOHNS, FL
| Name | Credential | NPI |
|---|---|---|
| DR. ANA MARIA ROMERO | M.D. | 1154383990 |
| DR. MATTHEW RYAN DEBOER | DO | 1104047893 |
| TRISTAN A IMHOF | MD | 1699123968 |
| OLIVIA MICHELLE BULLOCK | DO | 1114542859 |
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.