Alice A Fannin, PA
Physician Assistant in Worcester, Massachusetts
1649240896- Practice location
- 630 Plantation St, Worcester, MA 01605
- Phone
- 508-595-2000
- Fax
- 508-853-7149
- Last updated
- July 13, 2026
Alice A Fannin is a Physician Assistant based in Worcester, MA. Alice A Fannin practices in Worcester, MA and has the professional credentials of PA. The NPI Number for Alice A Fannin is 1649240896 and holds a License No. 1422 (MA). The current practice location address for Alice A Fannin is 630 Plantation St, Worcester, MA 01605 and can be reached out via phone at 508-595-2000 and via fax at 508-853-7149.
Provider Profile Details
- NPI Number
- 1649240896
- Provider Name
- Alice A Fannin
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 630 Plantation St, Worcester, MA 01605
- Phone Number
- 508-595-2000
- Fax Number
- 508-853-7149
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 23, 2006
- Last Update Date
- July 13, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 630 Plantation St
Worcester, MA 01605 - City
- Worcester
- State
- Massachusetts
- Zip
- 01605
- Phone Number
- 508-595-2000
- Fax Number
- 508-853-7149
Provider Business Mailing Address Details
- Address
- 630 Plantation St
Wot 12TH Floor Attn. Physician Services
Worcester, MA 01605 - City
- Worcester
- State
- MA
- Zip
- 01605
- Phone Number
- 508-368-5529
- Fax Number
- 508-368-5530
License Information
- License Number
- 1422
- License State
- MA
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Alice A Fannin, PA?
The NPI number of Alice A Fannin, PA is 1649240896. It was assigned on January 23, 2006 and is currently active in the NPPES registry.
What is the specialty of Alice A Fannin, PA?
Alice A Fannin, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number 1422.
Where does Alice A Fannin, PA practice?
The practice location is 630 Plantation St, Worcester, MA 01605. The office can be reached at 508-595-2000 (phone) or 508-853-7149 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649240896 directly on the NPPES registry website.