IndividualActive
Amy Fannin, APNP
NPI 1093124265 · Adult Health Nurse Practitioner · Fond Du Lac, WI
Provider details
- NPI number
- 1093124265
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APNP
- Sex
- Female
- Sole proprietor
- No
- License
- 5904-33 (WI)
Practice location
430 E Division St
Fond Du Lac, WI 54935-4560
Phone: (920) 926-4530
Fax: (920) 926-8953
Mailing address
420 E Division St
Fond Du Lac, WI 54935-4560
Registry dates
- Enumerated
- 2014-08-12
- Last updated
- 2020-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.