1376102434 Dajuan Fanning

Licensed Practical Nurse

Active

Basic Information

Full Name
Dajuan Fanning
Gender
Male
Enumeration Date
June 11, 2019
Last Update
June 11, 2019

Practice Location

Address
17072 NEW HAMPSHIRE DR
SOUTHFIELD, MI 480752972
Phone
(313) 213-7470

Mailing Address

Address
17072 NEW HAMPSHIRE DR
SOUTHFIELD, MI 480752972
Phone
(313) 213-7470

Specialties & Taxonomies

Specialty Code Classification License State Primary
Chore Provider
372500000X Chore Provider N/A N/A No
Home Health Aide
374U00000X Home Health Aide N/A N/A No
Prevention Professional
405300000X Prevention Professional 4703116420 MI No
Licensed Practical Nurse
164W00000X Licensed Practical Nurse 4703116420 MI Primary

Other Identifiers

Identifier Type State Issuer
4703116420 05 MI N/A
4703116420 01 MI BCBS

Frequently Asked Questions

What is Dajuan Fanning's NPI number?
Dajuan Fanning's NPI number is 1376102434.
Which doctor has NPI number 1376102434?
The doctor with NPI number 1376102434 is Dajuan Fanning.
What is Dajuan Fanning's practice address?
Dajuan Fanning's practice address is 17072 NEW HAMPSHIRE DR, SOUTHFIELD, MI, 480752972.
Which doctor practices at 17072 NEW HAMPSHIRE DR, SOUTHFIELD, MI, 480752972?
Dajuan Fanning practices at 17072 NEW HAMPSHIRE DR, SOUTHFIELD, MI, 480752972.
What is Dajuan Fanning's phone number?
Dajuan Fanning's phone number is (313) 213-7470.
Who is (313) 213-7470?
(313) 213-7470 is the phone number for Dajuan Fanning.
What is Dajuan Fanning's specialty?
Dajuan Fanning's specialty is Licensed Practical Nurse.
What type of doctor is Dajuan Fanning?
Dajuan Fanning is a Licensed Practical Nurse.
Is Dajuan Fanning a Licensed Practical Nurse?
Yes, Dajuan Fanning is a Licensed Practical Nurse.
Is Dajuan Fanning still practicing?
Yes, Dajuan Fanning is currently practicing.
Is Dajuan Fanning accepting new patients?
Dajuan Fanning may be accepting new patients. Please call their office at (313) 213-7470 to inquire about availability.
Is NPI 1376102434 still active?
Yes, NPI 1376102434 is currently active.
Where does Dajuan Fanning practice?
Dajuan Fanning practices in SOUTHFIELD, MI.
Is Dajuan Fanning a male or female doctor?
Dajuan Fanning is a male doctor.