Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN FANTAZIER
ActiveJUSTIN FANTAZIER is a Emergency Nurse healthcare provider located in MARION, Virginia. NPI 1568915312 is currently active in the NPPES registry. Verify at CMS.
Emergency Nurse · MARION, VA
Registration Details
- NPI Number
- 1568915312
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2016 (9.8587649576288 yrs)
- Last Updated
- Jul 28, 2016
- License
-
001231585 (VA)
Practice Information
- Address
-
1133 CULBERT DRMARION, VA, 243544211Browse VA providers · Browse ZIP 24354
- Phone
- 2767066707
- Primary Specialty
-
Emergency Nurse
163WE0003X
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.