Ismael D Fanny LPN

NPI 1144397936 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1144397936
Gender Male
Enumeration Date 11/29/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
116 BAY VW
MADISON WI, 53715-1402, US
Phone (608) 255-1914
Fax (413) 383-1691
Business Location
116 BAY VW
MADISON WI, 53715-1402, US
Phone (608) 255-1914
Fax (413) 383-1691
Toxanomy
Taxonomy Code 164W00000X
License State Wisconsin
License Number 33573-31
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According to our database, Ismael D Fanny LPN NPI is 1144397936, taxonomy code is 164W00000X and license number is 33573-31, license state is located at Wisconsin. Ismael D Fanny LPN physically located at 116 Bay Vw, Madison WI, 53715-1402. NPI Number Ismael D Fanny LPN has the Individual type.

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1144397936 NPI number is provided on an as is basis without warranty of any kind. 1144397936 is maintained by the National Plan & Provider Enumeration System. The contents of Ismael D Fanny LPN are for informational purposes only.