ANNE LOUISE FANNIN (NPI# 1720457906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720457906 |
| Entity Type | Individual |
| Full Name | ANNE LOUISE FANNIN |
| Credential | RN |
| Practice Address |
855 N Euclid Ave Ontario CA 91762-2729 |
| Practice Telephone | 9099832020 |
| Practice Fax Number | 9099836847 |
| Mailing Telephone | 9099832020 |
| Mailing Fax Number | 9099836847 |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
390109 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 95-1946482 | 05 |
| Street Address |
855 N EUCLID AVE |
| City | ONTARIO |
| State | CA |
| Zip Code | 91762-2729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902858194 | Mubashir Ahmad Farooqi | Psychiatry & Neurology | 855 N Euclid Ave, Ontario, CA 91762-2729 | 2006-05-16 |
| 1366057192 | Tiffany Venegas | Student in an Organized Health Care Education/Training Program | 855 N Euclid Ave, Ontario, CA 91762-2729 | 2020-09-09 |
| 1992310726 | Tracy Martinez Rolon | Social Worker | 855 N Euclid Ave, Ontario, CA 91762-2729 | 2020-09-09 |
| 1083260566 | Viviana Roman M | Case Manager/Care Coordinator | 855 N Euclid Ave, Ontario, CA 91762-2729 | 2019-08-12 |
| 1104478148 | Mary Eleanor Hoon | Counselor | 855 N Euclid Ave, Ontario, CA 91762-2729 | 2019-07-10 |
| 1235781279 | Chloe Jean Dobbert | Marriage & Family Therapist | 855 N Euclid Ave, Ontario, CA 91762-2729 | 2019-07-10 |
| 1396203162 | Marissa Cristine Castaneda | Marriage & Family Therapist | 855 N Euclid Ave, Ontario, CA 91762-2729 | 2019-03-11 |
| 1235609231 | Beatriz Delgado | Marriage & Family Therapist | 855 N Euclid Ave, Ontario, CA 91762-2729 | 2018-12-03 |
| 1881171387 | Janelle Alyse Bonura | Counselor | 855 N Euclid Ave, Ontario, CA 91762-2729 | 2018-07-26 |
| 1790276434 | Danyarel Crespo Torres | Counselor | 855 N Euclid Ave, Ontario, CA 91762-2729 | 2018-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093486 | Samantha Jo Brumfield | Nurse Practitioner | 5562 Central Avenue, Suite 300, Chino, CA 91762 | 2019-09-20 |
| 1215598578 | Janet Murphy | Behavior Technician | 1520 North Mountain Ave., Ste 206, Ontario, CA 91762 | 2019-06-26 |
| 1437717550 | Fjs Hearing Professionals | Hearing Instrument Specialist | 528 N Palm Ave, Ontario, CA 91762 | 2019-06-04 |
| 1669990768 | Claudia Juarez Tapia | Counselor | 125 W F Street, Ontario, CA 91762 | 2017-09-08 |
| 1093230468 | David Rayo | Respiratory Therapist, Registered | 805 W E St, Ontario, CA 91762 | 2017-08-07 |
| 1215475348 | Chinmay Patel | Physical Therapist | 910 S Mountain Avenue Unite A, Ontario, CA 91762 | 2017-02-09 |
| 1003265604 | Bambi Mpiana | Dentist | 1337 N Mountain Ave Ste 1, Ontario, CA 91762 | 2016-06-06 |
| 1548630940 | Ned Paniagua, Dmd A Professional Corporation | Dentist | 533 W. Holt Blvd., Suite B, Ontario, CA 91762 | 2015-09-29 |
| 1568865251 | Jennifer Estberg | Student in an Organized Health Care Education/Training Program | 317 W. F Street, Ontario, CA 91762 | 2014-10-08 |
| 1447660873 | Agha Zulfequar Hayder | Nurse Practitioner | 1001 West 6th Street, Suite B., Ontario, CA 91762 | 2014-05-07 |
| Find all providers in zip 91762 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063816015 | Martinique N Cisneros | Registered Nurse | 826 S Oaks Ave, Ontario, CA 91762-4732 | 2014-10-20 |
| 1477988244 | Jill Rose Urcia Cariazo | Registered Nurse | 2940 Inland Empire Blvd., Ontario, CA 91764 | 2013-09-11 |
| 1710441720 | Adebukola Elizabeth Olusanya | Registered Nurse | 2940 Inland Empire Blvd, Ontario, CA 91764-4898 | 2019-01-23 |
| 1982176475 | Pamela Rae Apostolou | Registered Nurse | 2940 Inland Empire Blvd, Ontario, CA 91764-4898 | 2018-12-20 |
| 1932583150 | Jazmyne Arteese Bosley | Registered Nurse | 3401 Centre Lake Dr Ste 512, Ontario, CA 91761-1201 | 2015-07-17 |
| 1053691790 | Bridget Cleary | Registered Nurse | 3401 Centre Lake Dr Ste 512, Ontario, CA 91761-1201 | 2011-08-25 |
| 1295033835 | Shane Strnad | Registered Nurse | 1456 Park Ave W, Suite N, Ontario, OH 44906-2700 | 2011-03-07 |
| 1699959874 | Deborah Lee Reynolds | Registered Nurse | 702 Sunset Dr, Ontario, OR 97914-3121 | 2007-12-24 |
| 1386860930 | Patricia A Barfield | Registered Nurse | 702 Sunset Dr, Ontario, OR 97914-3121 | 2007-04-18 |
| 1548321474 | Vickie Lynn Darr | Registered Nurse | 702 Sunset Dr, Ontario, OR 97914-3121 | 2006-12-13 |
| Find all providers in ONTARIO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.