NPI 1033673314

Eric N Fanya, NURSE

Practitioner Licensed Practical Nurse Chandler, AZ

Practice location

Address: 3029 N Alma School Rd STE 130, Chandler, AZ 85224-1474
Phone: (480) 812-3680

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence LP046931 (AZ)

Other Licensed Practical Nurse providers in Arizona →

Registry record

NPI: 1033673314
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jan 2019
Record last updated: 30 Jan 2019

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.