NPI 1013894856

Kiersten Marie Fanell, PAC

Practitioner Surgical Physician Assistant Stuart, FL

Practice location

Address: 200 SE Hospital Ave, Stuart, FL 34994-2346
Phone: (772) 287-5200
Mailing address: 200 SE Hospital Ave # 2346, Stuart, FL 34994-2346

Registered specialties (2)

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA9120745 (FL)

Other Physician Assistant providers in Florida →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA9120745 (FL)

Registry record

NPI: 1013894856
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Aug 2025
Record last updated: 11 Jan 2026

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.