Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alice A Fannin, PA

Individual provider Physician Assistant · NPI 1649240896

Alice A Fannin, PA is a Physician Assistant in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

630 Plantation St
Worcester, MA 01605
Phone: (508) 595-2000
Fax: (508) 853-7149
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1422 (MA)

Record details

NPI number1649240896
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 23, 2006
Last updated in NPPESJuly 13, 2026

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