person
Mary Fannon
Acute Care Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1043933518

Mary Fannon is an Acute Care Nurse Practitioner based in Glenside, PA and is specialized in Acute Care. Mary Fannon practices in Philadelphia, PA. The NPI Number for Mary Fannon is 1043933518 and holds a License No. SP026285 (Pennsylvania).

The current practice location address for Mary Fannon is 111 S 11Th St, Philadelphia, PA and can be reached out via phone at 215-955-6060.

Location: 111 S 11Th St, Philadelphia, PA, 19038-3701
person
Provider Profile Details
NPI Number
1043933518
Provider Name
Mary Fannon
Credential
Provider Entity Type
Individual
Gender
Female
Address
111 S 11Th St, Philadelphia, PA, 19038-3701
Phone Number
215-955-6060
Fax Number
Provider Enumeration Date
09/20/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
111 S 11Th St
City
State
Zip
19107-4824
Phone Number
215-955-6060
Fax Number
person
Provider Business Mailing Address Details
Address
111 S 11Th St
City
State
Zip
19107-4824
Phone Number
215-955-6060
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
SP026285 (Pennsylvania)
Definition
Definition to come...
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