IndividualActive
Adam Fannin, MSN, MHA, APRN-CNP
NPI 1275415580 · Critical Care Medicine Registered Nurse · Charleston, WV
Provider details
- NPI number
- 1275415580
- Entity type
- Individual
- Primary specialty
- Critical Care Medicine Registered NurseNursing Service Providers
- Credential
- MSN, MHA, APRN-CNP
- Sex
- Male
- Sole proprietor
- No
- License
- 108310 (WV)
Practice location
3100 Maccorkle Ave Se Ste 205
Charleston, WV 25304-1228
Phone: (740) 395-6011
Mailing address
3417 Virginia Ave Se
Charleston, WV 25304-1308
Registry dates
- Enumerated
- 2025-07-25
- Last updated
- 2025-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.