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

KEITH RAY FANNIN, RN

Active

KEITH RAY FANNIN, RN is a Family Nurse Practitioner healthcare provider located in LEBANON, New Hampshire. NPI 1457809881 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · LEBANON, NH

Registration Details

NPI Number
1457809881
Provider Type
Individual
Gender
Male
NPI Issued
Sep 14, 2016 (9.9010857988737 yrs)
Last Updated
Mar 20, 2018
Licenses
RN.372827 (OH)
077205-23 (NH)
077205-23 (NH)

Practice Information

Address
ONE MEDICAL CENTER DRIVE
DARTMOUTH HITCHCOCK - GENERAL SURGERY
LEBANON, NH, 03756
Browse NH providers · Browse ZIP 03756
Phone
6036507903
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Nurse Practitioner
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in LEBANON, NH

Name Credential NPI
CARLYN HERZ APRN 1780684530
LARRY A LANCASTER ARNP 1770579781
CAROL WILLIAMS-SUICH ARNP 1003802018
MS. AMY L BEAUPRE APRN 1376532390
DANIELLE BASTA APRN 1316937865
MARGARET KELLY MSN, RN, APRN,BC 1427020783
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.