MANDITHE M. FANFAN LPN
NPI 1225362189
Licensed Practical Nurse in Pompano Beach, FL

Active since September 25, 2009
450 E ATLANTIC BLVD, POMPANO BEACH, FL 33060(954) 580-0770(954) 580-0777 Get Directions Write a Review

NPPES record last updated: September 25, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mandithe M. Fanfan Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANDITHE M. FANFAN LPN (NPI 1225362189) is an individual licensed practical nurse in Pompano Beach, Florida, licensed in Florida (PN5177352) and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1225362189
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMANDITHE M. FANFANCredential: LPN
Location Address450 E ATLANTIC BLVDPompano Beach, FL 33060-6256
Mailing Address11031 Ne 6th AveMiami, FL 33161-7182 · (305) 398-6100 · Fax (305) 757-4465
Fax(954) 580-0777
Sole ProprietorNo
Enumeration DateSeptember 25, 2009
NPI 1225362189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in FL · PN5177352
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

450 E ATLANTIC BLVD, Pompano Beach, FL 33060

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
450 E ATLANTIC BLVD
POMPANO BEACH, FL 33060
Counselor
450 E ATLANTIC BLVD
POMPANO BEACH, FL 33060
Social Worker
450 E ATLANTIC BLVD
POMPANO BEACH, FL 33060
Social Worker
450 E ATLANTIC BLVD
POMPANO BEACH, FL 33060
Counselor
450 E ATLANTIC BLVD
POMPANO BEACH, FL 33060
Counselor
450 E ATLANTIC BLVD
POMPANO BEACH, FL 33060
Social Worker
450 E ATLANTIC BLVD
POMPANO BEACH, FL 33060
Counselor
450 E ATLANTIC BLVD
POMPANO BEACH, FL 33060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mandithe Fanfan's NPI number?

The NPI number for Mandithe Fanfan is 1225362189. It was assigned to this individual provider in the NPPES registry on September 25, 2009.

Where is Mandithe Fanfan located?

Mandithe Fanfan practices at 450 E Atlantic Blvd, Pompano Beach, FL 33060. The listed phone number is (954) 580-0770.

What is Mandithe Fanfan's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Mandithe Fanfan was last updated on September 25, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.