Fanta Phannavong
Fanta Phannavong is a Community Health Worker in Providence, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2025.
- Licensed in
- RI
- In the registry since
- 2025
Practice location Address checks out
270 Elmwood AveProvidence, RI 02907-1524
Phone: (401) 274-8811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X · Licence ISW02399 (RI) |
|---|
Record details
| NPI number | 1518839703 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 18, 2025 |
| Last updated in NPPES | October 24, 2025 |
| Certification date | September 18, 2025 |
| Mailing address | 270 Elmwood Ave, Providence, RI 02907-1524 |
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