Fanus, Jodi L

Fanus, Jodi L is an individual health care provider with primary practice located at 500 University Dr , Hershey PA 17033-2360. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Fanus, Jodi L can be contacted via phone (800) 243-1455.

Contact Information

Primary practice address
500 University Dr Hershey PA 17033-2360
Phone: (800) 243-1455
Fax: (717) 531-7790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN526788L Pennsylvania

Profile Details

NPI number 1962823518
LBN Legal business name Fanus, Jodi L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2013
Last updated Mar 16th, 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 1962823518 NPPES
Pennsylvania MEDICAID 1036957470001

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