Individual provider · NPI-1
Weishan Fan
Home Health Aide · Gallatin, TN
NPI number1679361497
StatusActive
Last updated in NPPESMay 22, 2025
Details
- NPI
- 1679361497
- Entity type
- Individual (NPI-1)
- Name
- Weishan Fan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 30, 2025
- Certification date
- May 22, 2025
- Last updated
- May 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | 0141087 | TN | Yes |
Practice location
354 Rosebrook DrGallatin, TN 37066-5572
Phone 615-977-5791
Mailing address
354 Rosebrook DrGallatin, TN 37066-5572
Phone 615-977-5791
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