MEDICARE: ABBE C FANNIN CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	647336	TX

General Provider Information

NPI Number	:	1194723940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABBE C FANNIN CRNA

Provider Business Mailing Address
First Line	:	PO BOX 41
Second Line	:
City	:	MUNCIE
State	:	IN
Zip	:	47308-0041
Country	:	US
Telephone Number	:	765-284-0493
Fax Number	:	765-284-2434

Provider Business Practice Location Address
First Line	:	1416 GEORGE DIETER DR
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-7601
Country	:	US
Telephone Number	:	915-494-4588
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	09/04/2013

Similar Medicare Providers

1952304297 — DR. OLMER RONNIE BROOKER M.D.
Practice Location Address:

1418 GEORGE DIETER DR , STE B
EL PASO, TX
79936-7601

Practice Phone: 915-855-7900
Practice Fax: 915-855-7755

1427052042 — RONALD FREDRICK BAKER MD
Practice Location Address:

1418 B GEORGE DIETER AVE
EL PASO, TX
79936-7601

Practice Phone: 915-855-7900
Practice Fax: 915-855-7755

1487659884 — PHYSICIANS SPECIALTY HOSPITAL OF EL PASO EAST LP
Practice Location Address:

1416 GEORGE DIETER DR
EL PASO, TX
79936-7601

Practice Phone: 915-598-4240
Practice Fax: 915-849-4767

1063409274 — ANNE V. HALE MD
Practice Location Address:

1440 GEORGE DIETER DR
EL PASO, TX
79936-7601

Practice Phone: 915-591-4444
Practice Fax: 915-921-9000

1912984733 — ALEPH RESPIRATORY & DME, INC.
Practice Location Address:

1400 GEORGE DIETER DR , SUITE 120
EL PASO, TX
79936-7601

Practice Phone: 915-474-1812
Practice Fax: 915-856-7717

1023061561 — BORDER MEDICAL SPECIALISTS, P.A.
Practice Location Address:

1400 GEORGE DIETER DR , STE. 170
EL PASO, TX
79936-7601

Practice Phone: 915-921-7855
Practice Fax: 915-921-7866

Directions to “ ABBE C FANNIN CRNA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.