Provider Demographics
NPI:1952931040
Name:FANSLER, CARIE DANIELLE (APRN FNP-C)
Entity Type:Individual
Prefix:MS
First Name:CARIE
Middle Name:DANIELLE
Last Name:FANSLER
Suffix:
Gender:F
Credentials:APRN FNP-C
Other - Prefix:
Other - First Name:CARIE
Other - Middle Name:DANIELLE
Other - Last Name:SHIPLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN FNP-C
Mailing Address - Street 1:200 JOHN W HOOVER PKWY BLDG 1, STE A
Mailing Address - Street 2:
Mailing Address - City:BURNET
Mailing Address - State:TX
Mailing Address - Zip Code:78611-4560
Mailing Address - Country:US
Mailing Address - Phone:512-715-3110
Mailing Address - Fax:512-715-0678
Practice Address - Street 1:200 JOHN W HOOVER PKWY BLDG 1, STE A
Practice Address - Street 2:
Practice Address - City:BURNET
Practice Address - State:TX
Practice Address - Zip Code:78611-4560
Practice Address - Country:US
Practice Address - Phone:512-715-3110
Practice Address - Fax:512-715-0678
Is Sole Proprietor?:No
Enumeration Date:2020-01-17
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144631363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily