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Miss Mary Theresa Fanning, CRNP
Family Nurse Practitioner in York, Pennsylvania
NPI 1194219097

Mary Theresa Fanning is a Family Nurse Practitioner based in Glen Rock, PA and is specialized in Family. Mary Theresa Fanning practices in York, PA and has the professional credentials of CRNP. The NPI Number for Mary Theresa Fanning is 1194219097 and holds a License No. SP018724 (Pennsylvania).

The current practice location address for Mary Theresa Fanning is 2350 Freedom Way Ste 200, York, PA and can be reached out via phone at 717-812-5120.

Location: 2350 Freedom Way Ste 200, York, PA, 17327-1341
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194219097
Provider Name
Mary Theresa Fanning
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
2350 Freedom Way Ste 200, York, PA, 17327-1341
Phone Number
717-812-5120
Fax Number
Provider Enumeration Date
06/15/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2350 Freedom Way Ste 200
City
York
State
Pennsylvania
Zip
17402-8200
Phone Number
717-812-5120
Fax Number
person
Provider Business Mailing Address Details
Address
2350 Freedom Way Ste 200
City
York
State
Pennsylvania
Zip
17402-8200
Phone Number
717-812-5120
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
SP018724 (Pennsylvania)
Definition
Definition to come...
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