LAURA FANNING (NPI# 1851886469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851886469 |
| Entity Type | Individual |
| Full Name | LAURA FANNING |
| Practice Address |
901 S Oakland St Ste 201 Saint Johns MI 48879-2200 |
| Mailing Address |
Po Box 13008 Lansing MI 48901-3008 |
| Practice Telephone | 9892242338 |
| Practice Fax Number | 9892242065 |
| Mailing Telephone | 9892242338 |
| Mailing Fax Number | 9892242065 |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704253569 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | STATE LICENSE | 4704253569 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922421791 | Laura Fanning | Social Worker | 21 E 2nd St Ste 102, Riverhead, NY 11901-4686 | 2014-01-29 |
| 1043493067 | Laura Beth Fanning | Allergy & Immunology | 850 Boylston St, Suite 540, Chestnut Hill, MA 02467-2477 | 2007-12-12 |
| Street Address |
901 S OAKLAND ST STE 201 |
| City | SAINT JOHNS |
| State | MI |
| Zip Code | 48879-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700863719 | Christian D Bentley | Orthopaedic Surgery | 901 S Oakland St Ste 201, Saint Johns, MI 48879-2200 | 2005-12-30 |
| 1649248998 | Werner Hollstein | Emergency Medicine | 901 S Oakland St Ste 201, Saint Johns, MI 48879-2200 | 2006-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003383035 | Soledad Poquiz | Physical Therapist | 1011 Old U.S. 27 Suite A, St. Johns, MI 48879 | 2018-10-29 |
| 1134613680 | Edward Peters Iv | Optometrist | 1002 Old U.S. 27, St. Johns, MI 48879 | 2018-06-19 |
| 1386082352 | Jennie Louise Findlay | Physical Therapist | 6798 Findlay Road, Saint Johns, MI 48879 | 2013-06-11 |
| 1528200839 | Heidi Jo Glew | Social Worker | 6190 W. Centerline Rd, St. Johns, MI 48879 | 2009-04-01 |
| 1376721084 | Richard Heaton | Registered Nurse | 701 Mortin St, St Johns, MI 48879 | 2008-02-05 |
| 1992830038 | Rodger Wesley Massa | Chiropractor | 1004 N Us 27, St Johns, MI 48879 | 2007-02-22 |
| 1225182454 | Polly A Lilleboe | Specialist | 805 Oakland Street, St Johns, MI 48879 | 2007-01-23 |
| 1730272485 | St. Johns Counseling and Therapy Services, P.C. | Social Worker | 1505 Waterford Parkway, St. Johns, MI 48879 | 2006-10-02 |
| 1093810400 | Janet Lynn Woodcock | Social Worker | 120 E Walker Street, St Johns Counseling & Therapy Services PC Suite B, St Johns, MI 48879 | 2006-09-13 |
| 1366481194 | Beth Ann Snyder-petrowitz | Nurse Anesthetist, Certified Registered | 805 S. Oakland, St. John's, MI 48879 | 2006-06-06 |
| Find all providers in zip 48879 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104435239 | Robert D Yarbrough | Nurse Practitioner | 105 Celtic Wedding Dr, Saint Johns, FL 32259-6935 | 2020-07-24 |
| 1689299612 | Sharon Sims | Nurse Practitioner | 258 N Arabella Way, Saint Johns, FL 32259-8021 | 2020-06-16 |
| 1922578046 | Lisa Stevens Gonzalez | Nurse Practitioner | 250 Willow Winds Pkwy, Saint Johns, FL 32259-7266 | 2018-12-01 |
| 1356863732 | Jennifer Eberhard | Nurse Practitioner | 335 Oxford Estates Way, Saint Johns, FL 32259 | 2017-07-07 |
| 1528509023 | Patty Callison | Nurse Practitioner | 1351 Tangerine Dr, Saint Johns, FL 32259-3157 | 2017-03-16 |
| 1023385515 | Sherri Annette D'agata | Nurse Practitioner | 3472 Babiche St, Saint Johns, FL 32259-2196 | 2011-11-28 |
| 1306163258 | Marvin Cabilangan Depas | Nurse Practitioner | 625 N. 13th West, North Country Healthcare, St Johns, Saint Johns, AZ 85936 | 2010-04-30 |
| 1659376762 | Laura Louise Curtis | Nurse Practitioner | 1055 South Us. 27, Saint Johns, MI 48879-2437 | 2005-06-15 |
| 1245876242 | Miranda Marshall | Nurse Practitioner | 1005 S Us Highway 27 Ste 100, Saint Johns, MI 48879-2423 | 2019-11-25 |
| 1578035895 | Richard Neil Mccoy | Nurse Practitioner | 805 S Oakland St, Saint Johns, MI 48879-2253 | 2018-12-27 |
| Find all providers in SAINT JOHNS | ||||
| City | SAINT JOHNS |
| Zip Code | 48879 |
Please comment or provide details below to improve the information on LAURA FANNING.
| 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.