Provider Demographics
NPI:1407329170
Name:FABBRO, MINDY ANN (FNP-BC)
Entity Type:Individual
Prefix:
First Name:MINDY
Middle Name:ANN
Last Name:FABBRO
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:MINDY
Other - Middle Name:ANN
Other - Last Name:CURVIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3215 WALTAN RD
Mailing Address - Street 2:
Mailing Address - City:VASSAR
Mailing Address - State:MI
Mailing Address - Zip Code:48768-9539
Mailing Address - Country:US
Mailing Address - Phone:989-780-1067
Mailing Address - Fax:
Practice Address - Street 1:1200 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48708-5756
Practice Address - Country:US
Practice Address - Phone:989-895-2035
Practice Address - Fax:989-895-2053
Is Sole Proprietor?:No
Enumeration Date:2019-01-06
Last Update Date:2019-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704216981363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily