Terri Fanning, LPN is a
Licensed Practical Nurse based in Watseka, Illinois. Terri Fanning is licensed to practice in Illinois (license number 043050150) and her current practice location is
323 W Mulberry St, Watseka, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 432-5241.
NPI number for Terri Fanning is 1255815270 and her current mailing address is Po Box 322, Watseka, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255815270.
Provider's Profile
Full Name | Terri Fanning |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 323 W Mulberry St, Watseka, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255815270
- Provider Enumeration Date: 09/17/2018
- Last Update Date: 09/17/2018
Medical Identifiers
Medical identifiers for Terri Fanning such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255815270 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 043050150 (Illinois) | 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. Terri 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 |
Terri Fanning, LPN Po Box 322, Watseka, IL 60970-0322 Ph: () - | Terri Fanning, LPN 323 W Mulberry St, Watseka, IL 60970-1568 Ph: (815) 432-5241 |
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