Stephanie Fanning, is a
Occupational Therapist based in Albuquerque, New Mexico. Stephanie Fanning is licensed to practice in New Mexico (license number 1943) and her current practice location is
3211 Monte Vista Blvd Ne, Albuquerque, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 268-3520.
NPI number for Stephanie Fanning is 1205996857 and her current mailing address is 712 Adams St Ne, Albuquerque, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205996857.
Healthcare Provider's Profile
Full Name | Stephanie Fanning |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 3211 Monte Vista Blvd Ne, Albuquerque, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205996857
- Provider Enumeration Date: 12/12/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Stephanie Fanning such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205996857 | NPI | - | NPPES |
26903318 | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 2632 (New Mexico) | Primary |
225X00000X | Occupational Therapist | 1943 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stephanie Fanning is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Stephanie Fanning, 712 Adams St Ne, Albuquerque, NM 87110-6224 Ph: () - | Stephanie Fanning, 3211 Monte Vista Blvd Ne, Albuquerque, NM 87106-2119 Ph: (505) 268-3520 |
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