MEDICARE: SHELLEY LANETTE FANT

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	251S00000X	Community/Behavioral Health Agency		NC

General Provider Information

NPI Number	:	1952260325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELLEY LANETTE FANT

Provider Business Mailing Address
First Line	:	1914 J N PEASE PL
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-4504
Country	:	US
Telephone Number	:	412-607-3572
Fax Number	:

Provider Business Practice Location Address
First Line	:	1914 J N PEASE PL
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-4504
Country	:	US
Telephone Number	:	412-607-3572
Fax Number	:

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

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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Directions to “ SHELLEY LANETTE FANT ” Practice Location

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