Kathryn House Fanning in Tampa - Psychiatric/mental Health

Kathryn House Fanning - NPI 1083620025

Kathryn House Fanning is a Psychiatric/mental Health in Tampa, Florida. Kathryn House Fanning practices all healthcare services and medical treatments related to Psychiatric/mental Health. The NPI Number for Kathryn House Fanning is 1083620025. The last update date is 2007-07-08.

Kathryn House Fanning's current location address is 12512 Bruce B Downs Blvd, Tampa, Florida. You can contact this provider via phone number 8139778700 and fax number 8139030479. The mailing address for Kathryn House Fanning is 12512 Bruce B Downs Blvd, Tampa, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathryn House Fanning
Address 12512 Bruce B Downs Blvd, Tampa, Florida
Phone Number 8139778700
Fax Number 8139030479
Sole Proprietor Y
Credentials A.R.N.P.

NPI Number Detail

NPI Number 1083620025
Provider Enumeration Date 2006-07-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 12512 Bruce B Downs Blvd
City Tampa
State Florida (FL)
Post Code 336129209
Phone Number 8139778700
Fax Number 8139030479

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health
Taxonomy 363Lp0808X
Licence No 2091032
Definition:
An advanced practice registered nurse expert in providing psychiatric and mental healthcare services.

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FAQs about Kathryn House Fanning

What is the unique provider identifier assigned to Kathryn House Fanning?

The Kathryn House Fanning has been issued the NPI (National Provider Identifier) 1083620025 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Kathryn House Fanning's facilities are geographically located?

The facilities of Kathryn House Fanning are physically situated at the following location: 12512 Bruce B Downs Blvd, Tampa, FL, 336129209.

What is Kathryn House Fanning's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kathryn House Fanning is Psychiatric/mental Health, and the corresponding taxonomy classification code for this specialized field is 363Lp0808X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1083620025 to Kathryn House Fanning?

The Centers for Medicare & Medicaid Services originally issued the 1083620025 to Kathryn House Fanning on 2006-07-31.

As of what date were the Kathryn House Fanning's details last updated?

The information pertaining to the Kathryn House Fanning, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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