ALICIA FANNIN
NPI 1902590995
Registered Nurse - Addiction (Substance Use Disorder) in Ironton, OH
Active since June 05, 2023
About Alicia Fannin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALICIA FANNIN (NPI 1902590995) is an individual addiction (substance use disorder) provider in Ironton, Ohio, licensed in Kentucky (107491) and active in the NPI registry since June 2023.
NPPES Registry Identity
NPI1902590995
Entity TypeIndividualFemale
Primary Taxonomy163WA0400X
Provider Legal NameALICIA FANNIN
Location Address2903 S 5TH STIronton, OH 45638-2866
Mailing Address2903 S 5th StIronton, OH 45638-2866 · (740) 646-6640
Phone(740) 646-6640
Sole ProprietorNo
Enumeration DateJune 5, 2023
NPPES CertifiedJune 5, 2023
✔ NPI 1902590995 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Addiction (Substance Use Disorder)Nursing Service Providers
Taxonomy Code163WA0400X
License✔ Licensed in KY · 107491
2903 S 5TH ST, Ironton, OH 45638
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902590995, enumerated as an "individual" on June 05, 2023.
The provider is located at 2903 S 5TH ST IRONTON, OH 45638 and the phone number is (740) 646-6640.
Registered Nurse with taxonomy code 163WA0400X and a focus in Addiction (Substance Use Disorder).
