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

Natalia Fanani, PA

Individual provider Medical Physician Assistant · NPI 1164124657

Natalia Fanani, PA is a Physician Assistant in Norwich, Connecticut. Qualified in 2023, 3 years ago. Practices with Integrated Dermatology of Groton LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
3
Licensed in
CT
In the registry since
2023
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

2 Lathrop Ave
Norwich, CT 06360-2340
Phone: (860) 204-0332
Fax: (860) 204-0115
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 6387 (CT)

Record details

NPI number1164124657
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedMarch 20, 2023
Last updated in NPPESMarch 13, 2024
Certification dateMarch 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Integrated Dermatology Of Groton Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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