Healthcare Provider Details

I. General information

NPI: 1275462921
Provider Name (Legal Business Name): GRETCHEN FANCEY RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7030 COFFMAN RD
DUBLIN OH
43017-1068
US

IV. Provider business mailing address

7030 COFFMAN RD
DUBLIN OH
43017-1068
US

V. Phone/Fax

Practice location:
  • Phone: 614-789-9538
  • Fax:
Mailing address:
  • Phone: 614-718-8471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.449329
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: