Fanning, Cara

Fanning, Cara is an individual health care provider with primary practice located at 3483 S Eastern Ave , Las Vegas NV 89169-3314. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Fanning, Cara can be contacted via phone (702) 399-3299.

Contact Information

Primary practice address
3483 S Eastern Ave Las Vegas NV 89169-3314
Phone: (702) 399-3299
Fax: (702) 252-4405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11377 Nevada
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 11377 Nevada

Profile Details

NPI number 1841288107
LBN Legal business name Fanning, Cara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2005
Last updated Jan 7th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841288107 NPPES
Nevada MEDICAID 100506333

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