NPI 1003675109
Nicholas Fanselow
Practice location
- Address
- 620 John Paul Jones Cir, Portsmouth, VA 23708-2111
- Phone
- (757) 953-0669
Registered specialties (3)
General Practice Physician
Primary
Military Health Care Provider
Student in an Organized Health Care Education/Training Program
Registry record
- NPI
- 1003675109
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 19 Mar 2024
- Record last updated
- 26 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.