Nicholas Fanselow - Portsmouth, VA

Nicholas Fanselow

Student in an Organized Health Care Education/Training Program in Portsmouth, Virginia

NPI 1003675109

Nicholas Fanselow is a Student in an Organized Health Care Education/Training Program based in Portsmouth, VA. Nicholas Fanselow practices in Portsmouth, VA. The NPI Number for Nicholas Fanselow is 1003675109 and holds a License No. (Virginia).

The current practice location address for Nicholas Fanselow is 620 John Paul Jones Cir, Portsmouth, VA and can be reached out via phone at 757-953-0669.

Location: 620 John Paul Jones Cir, Portsmouth, VA, 23708-2111

NPI Number

1003675109

Provider Name

Nicholas Fanselow

Credential

Provider Entity Type

Individual

Gender

Male

Address

620 John Paul Jones Cir, Portsmouth, VA, 23708-2111

Phone Number

757-953-0669

Fax Number

Provider Enumeration Date

03/19/2024

Last Update Date

04/14/2024

Address

620 John Paul Jones Cir

City

Portsmouth

State

Virginia

Zip

23708-2111

Phone Number

757-953-0669

Fax Number

Address

620 John Paul Jones Cir

City

Portsmouth

State

Virginia

Zip

23708-2111

Phone Number

757-953-0669

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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