VALERIE ELAINE FANNING

COVINGTON, GA
NPI1730689191
Former NameVALERIE ELAINE WHITE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  128313)
Additional Taxonomies363LA2200X Nurse Practitioner, Adult Health
(Licence: GA  RN128313)
363LG0600X Nurse Practitioner, Gerontology
(Licence: GA  RN128313)
363LP2300X Nurse Practitioner, Primary Care
(Licence: GA  RN128313)
Enumeration Date2018-02-12
Last Update Date2021-04-20
Business Address
VALERIE ELAINE FANNING DNP
30 ROSEMOORE DR
COVINGTON, GA 30014-7065
Phone number: 404-820-0964
Mailing Address
VALERIE ELAINE FANNING DNP
30 ROSEMOORE DR
COVINGTON, GA 30014-7065
Phone number: 404-820-0964