NICOLE SUZANNE FANNING

BALTIMORE, MD
NPI1740541291
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: MD  D0084730)
Additional Taxonomies171000000X Military Health Care Provider
207V00000X Obstetrics & Gynecology
(Licence: VA  0101256369)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2012-05-31
Last Update Date2018-08-07
Business Address
NICOLE SUZANNE FANNING M.D.
9000 FRANKLIN SQUARE DR
BALTIMORE, MD 21237
Phone number: 443-777-8005
Mailing Address
NICOLE SUZANNE FANNING M.D.
9000 FRANKLIN SQUARE DR
BALTIMORE, MD 21237-3901
Phone number: 443-777-8005