JUSTIN FANTAZIER
NPI 1568915312
Registered Nurse - Emergency in Marion, VA
Active since July 28, 2016
About Justin Fantazier NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN FANTAZIER (NPI 1568915312) is an individual emergency provider in Marion, Virginia, licensed in Virginia (001231585) and active in the NPI registry since July 2016.
NPPES Registry Identity
NPI1568915312
Entity TypeIndividualMale
Primary Taxonomy163WE0003X
Provider Legal NameJUSTIN FANTAZIER
Location Address1133 CULBERT DRMarion, VA 24354-4211
Mailing Address1133 Culbert DrMarion, VA 24354-4211
Phone(276) 706-6707
Sole ProprietorNo
Enumeration DateJuly 28, 2016
✔ NPI 1568915312 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · EmergencyNursing Service Providers
Taxonomy Code163WE0003X
License✔ Licensed in VA · 001231585
1133 CULBERT DR, Marion, VA 24354
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568915312, enumerated as an "individual" on July 28, 2016.
The provider is located at 1133 CULBERT DR MARION, VA 24354 and the phone number is (276) 706-6707.
Registered Nurse with taxonomy code 163WE0003X and a focus in Emergency.
