NPI 1568564383
Johnnie Lauraetta Fanner, NP
Practice location
- Address
- 7400 Merton Minter St, San Antonio, TX 78229-4404
- Phone
- (210) 617-5300
- Fax
- (210) 949-3452
- Mailing address
- 707 Singing Wind Dr, San Antonio, TX 78227-1028
Registered specialties
Religious Nonmedical Nursing Personnel
Primary
Registry record
- NPI
- 1568564383
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Sep 2006
- Record last updated
- 8 Jul 2007
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.