National Provider Identifier
Katie Fanning
Katie Fanning is listed in the NPPES registry with a primary specialty of Early Intervention Provider Agency in Springville, NY and a listed phone number of (716) 592-9331.
Profile Overview
- NPI
- 1700246584
- Provider Type
- Individual
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- March 07, 2016
- Last Updated
- March 07, 2016
Practice Location
- 393 North St
- Springville, NY 14141-9652
Phone: (716) 592-9331
Specialties
- Early Intervention Provider Agency (252Y00000X)
Full Record
- NPI
- 1700246584
- Entity Type
- Individual
- Last Name
- Fanning
- First Name
- Katie
- Mailing Street Address
- 393 North St
- Mailing City
- Springville
- Mailing State
- NY
- Mailing ZIP Code
- 14141-9652
- Mailing Country
- US
- Mailing Phone
- (716) 592-9331
- Mailing Fax
- (716) 592-4683
- Practice Street Address
- 393 North St
- Practice City
- Springville
- Practice State
- NY
- Practice ZIP Code
- 14141-9652
- Practice Country
- US
- Practice Phone
- (716) 592-9331
- Practice Fax
- (716) 592-4683
- Enumeration Date
- March 07, 2016
- Last Updated
- March 07, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Early Intervention Provider Agency (252Y00000X)
- Other Identifiers
- 1341458 (NY)