Provider Demographics
NPI:1790933075
Name:FABIAN, LENA MARIE (CNM)
Entity Type:Individual
Prefix:
First Name:LENA
Middle Name:MARIE
Last Name:FABIAN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2304 WIGWAM DR
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-7425
Mailing Address - Country:US
Mailing Address - Phone:440-463-4586
Mailing Address - Fax:
Practice Address - Street 1:BASSETT ARMY COMMUNITY HOSPITAL
Practice Address - Street 2:4076 NEELY ROAD
Practice Address - City:FORT WAINWRIGHT
Practice Address - State:AK
Practice Address - Zip Code:99703
Practice Address - Country:US
Practice Address - Phone:907-361-2989
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-28
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife