KEITH RAY FANNIN RN
Individual Provider (NPI-1)
Active
Nurse Practitioner, Family
Provider Information
- NPI Number
1457809881- Provider Type
- Individual Provider (NPI-1)
- Credentials
- RN
- Status
- Active
Contact & Location
- Address
- ONE MEDICAL CENTER DRIVE DARTMOUTH HITCHCOCK - GENERAL SURGERY, LEBANON, NH, 03756
- Phone
- (603) 650-7903
Specialties & Taxonomies
Registered Nurse, Critical Care Medicine
License: OH #RN.372827
Nurse Practitioner
License: NH #077205-23
Nurse Practitioner, Family
Primary License: NH #077205-23
All Addresses
MAILING
ONE MEDICAL CENTER DRIVE DARTMOUTH HITCHCOCK - GENERAL SURGERY
LEBANON, NH, 03756
LOCATION
ONE MEDICAL CENTER DRIVE DARTMOUTH HITCHCOCK - GENERAL SURGERY
LEBANON, NH, 03756