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Carolyn Fasnacht
Student in an Organized Health Care Education/Training Program in Carbondale, Illinois
NPI 1649712829

Carolyn Fasnacht is a Student in an Organized Health Care Education/Training Program based in Carbondale, IL. Carolyn Fasnacht practices in Carbondale, IL. The NPI Number for Carolyn Fasnacht is 1649712829 and holds a License No. (Illinois).

The current practice location address for Carolyn Fasnacht is 2775 Skyhawk Rd, Carbondale, IL and can be reached out via phone at 618-967-8306.

Location: 2775 Skyhawk Rd, Carbondale, IL, 62902-1008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649712829
Provider Name
Carolyn Fasnacht
Credential
Provider Entity Type
Individual
Gender
Female
Address
2775 Skyhawk Rd, Carbondale, IL, 62902-1008
Phone Number
618-967-8306
Fax Number
Provider Enumeration Date
11/05/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2775 Skyhawk Rd
City
Carbondale
State
Illinois
Zip
62902-1008
Phone Number
618-967-8306
Fax Number
person
Provider Business Mailing Address Details
Address
2775 Skyhawk Rd
City
Carbondale
State
Illinois
Zip
62902-1008
Phone Number
618-967-8306
Fax Number
person
Provider's Taxonomy Details 1
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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