Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BROOK T FANTAW
Active Sole ProprietorBROOK T FANTAW is a Home Health healthcare provider located in MINNETONKA, Minnesota. NPI 1427816784 is currently active in the NPPES registry. Verify at CMS.
Home Health · MINNETONKA, MN
Registration Details
- NPI Number
- 1427816784
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 11, 2024 (2.4408527103074 yrs)
- Last Updated
- Mar 11, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
3621 WILLISTON RDMINNETONKA, MN, 553452129Browse MN providers · Browse ZIP 55345
- Phone
- 9524577546
- Primary Specialty
-
Home Health
251E00000X
Other Home Health Providers in MINNETONKA, MN
| Name | Credential | NPI |
|---|---|---|
| IFRAH ALI AHMED | — | 1396188652 |
| MRS. ROBIN G PAXTON | — | 1932914355 |
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.