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

MANDY R FANNIN, M.D.

Active

MANDY R FANNIN, M.D. is a Family Medicine healthcare provider located in EPHRATA, Pennsylvania. NPI 1972725877 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · EPHRATA, PA

Registration Details

NPI Number
1972725877
Provider Type
Individual
Gender
Female
NPI Issued
May 2, 2007 (19.258246807561 yrs)
Last Updated
Jan 16, 2025
Licenses
MT188133 (PA)
MD436272 (PA)

Practice Information

Address
136 LAKE ST
EPHRATA, PA, 175222415
Browse PA providers · Browse ZIP 17522
Phone
7177217718
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in EPHRATA, PA

Name Credential NPI
JAMES D HERR MD 1538146873
EDWARD GABRIEL CAMERINO M.D. 1881665362
NICOLE DENISE ZIMMERMAN D.O. 1730151093
DR. JOHN F BRABAZON D.O. 1346209913
ERICKA LYNN BERGER MD 1942251871
PETER S OH DO 1790737666
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.