Kristin Fanning
Pharmacy Technician in Jersey Shore, PA. Individual provider (NPI-1).
NPI number1407445190
StatusActive
Last updated in NPPESJan 16, 2021
Details
- NPI
- 1407445190
- Entity type
- Individual (NPI-1)
- Name
- Kristin Fanning
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2021
- Certification date
- Jan 16, 2021
- Last updated
- Jan 16, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183700000X | Pharmacy Technician | – | – | Yes |
Practice location
1440 Allegheny StJersey Shore, PA 17740-1116
Phone 570-398-7757
Mailing address
102 W Park StAvis, PA 17721-9105
Phone 570-651-5101
Is something wrong?
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Other Pharmacy Technician providers in Jersey Shore, PA
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