AMY E FANNIN

FOND DU LAC, WI
NPI1093124265
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: WI  5904-33)
Enumeration Date2014-08-12
Last Update Date2020-12-21
Business Address
AMY E FANNIN APNP
430 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-4530
Mailing Address
AMY E FANNIN APNP
420 E DIVISION ST
FOND DU LAC, WI 54935-4560
Phone number: 920-926-8340
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