Georgene A Fanous CNP

NPI 1396891826 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1396891826
Gender Female
Enumeration Date 01/26/2007
Last Updated 10/15/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
850 BRAINARD ROAD
HIGHLAND HTS. OH, 44143, US
Phone (440) 995-4500
Fax (440) 995-4585
Business Location
6019 BELMERE DR
PARMA OH, 44129-5102, US
Phone (440) 885-5623
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Ohio
License Number NP-06103
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According to our database, Georgene A Fanous CNP NPI is 1396891826, taxonomy code is 363L00000X and license number is NP-06103, license state is located at Ohio. Georgene A Fanous CNP physically located at 850 Brainard Road, Highland Hts. OH, 44143. NPI Number Georgene A Fanous CNP has the Individual type.

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1396891826 NPI number is provided on an as is basis without warranty of any kind. 1396891826 is maintained by the National Plan & Provider Enumeration System. The contents of Georgene A Fanous CNP are for informational purposes only.