Provider Demographics
NPI:1598852022
Name:FASCHING, FRANCES (CRNP)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:
Last Name:FASCHING
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 35
Mailing Address - Street 2:
Mailing Address - City:LAKE HARMONY
Mailing Address - State:PA
Mailing Address - Zip Code:18624-0035
Mailing Address - Country:US
Mailing Address - Phone:570-401-4311
Mailing Address - Fax:
Practice Address - Street 1:142 KIMBERLEIGH CT
Practice Address - Street 2:
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301-9260
Practice Address - Country:US
Practice Address - Phone:570-476-3353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP008001363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP00430619OtherRR MEDICARE
PA082952N46Medicare PIN