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

ADAM THOMAS FANNIN, MSN, MHA, APRN-CNP

Active

ADAM THOMAS FANNIN, MSN, MHA, APRN-CNP is a Critical Care Nurse healthcare provider located in CHARLESTON, West Virginia. NPI 1275415580 is currently active in the NPPES registry. Verify at CMS.

Critical Care Nurse · CHARLESTON, WV

Registration Details

NPI Number
1275415580
Provider Type
Individual
Gender
Male
NPI Issued
Jul 25, 2025 (1.0126581416057 yrs)
Last Updated
Oct 27, 2025
Licenses
108310 (WV)
108310 (WV)

Practice Information

Address
3100 MACCORKLE AVE SE STE 205
CHARLESTON, WV, 253041228
Browse WV providers · Browse ZIP 25304
Phone
7403956011
Primary Specialty
Critical Care Nurse
163WC0200X
Additional Specialty
Nurse Practitioner

Other Critical Care Nurse Providers in CHARLESTON, WV

Name Credential NPI
HATTIE MCLANE DAVIS BSN RN 1124819040
BUFFY RENEA MOORE 1518827567
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.