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

Brooke Fanning, PA

Individual provider Physician Assistant · NPI 1891522371

Brooke Fanning, PA is a Physician Assistant in Lima, Ohio. Licensed in Ohio. Registered with an NPI since 2024.

Licensed in
OH
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

830 W High St Ste 360
Lima, OH 45801-3985
Phone: (419) 227-7117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.009209RX (OH)

Record details

NPI number1891522371
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 18, 2024
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026

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