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

Lewis Dale Fannon, RN, NP

Individual provider Registered Nurse · NPI 1063845832

Lewis Dale Fannon, RN, NP is a Registered Nurse in San Francisco, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2013
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

50 Shrader St
San Francisco, CA 94117-1015
Phone: (415) 668-4166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 52 Dore St, San Francisco, CA 94103-3828 — (415) 553-3100

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 23521 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 801999 (CA)

Record details

NPI number1063845832
Entity typeIndividual (Type 1)
GenderMale
Credentials RN , NP
Sole proprietorNo
NPI enumeratedAugust 15, 2013
Last updated in NPPESJanuary 29, 2019

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