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

Miriam Kerolus Fanouse

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356761456

Miriam Kerolus Fanouse is a Student in an Organized Health Care Education/Training Program in Warren, New Jersey. Works from 2 locations. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2014
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Warren, NJ

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 4802 10th Ave, Brooklyn, NY 11219-2916 — (718) 283-6000

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 22DI02942100 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1356761456
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 16, 2014
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025

Other providers in Warren