Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Kasie L. Fanning

Individual provider Family Nurse Practitioner · NPI 1942111364

Kasie L. Fanning is a Family Nurse Practitioner in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2026.

Licensed in
MO
In the registry since
2026

Practice location Address checks out

4101 W Pine Blvd Unit 2
Saint Louis, MO 63108-3072
Phone: (502) 415-8305
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2026044396 (MO)

Record details

NPI number1942111364
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 15, 2026
Last updated in NPPESSeptember 15, 2026
Certification dateSeptember 15, 2026

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