NPI 1043431588

Jacqualyn S Fanelle, CRNA

Practitioner Certified Registered Nurse Anesthetist Vineland, NJ

Practice location

Address: 1505 W Sherman Ave, Vineland, NJ 08360-6912
Phone: (856) 641-7859
Fax: (856) 641-7671
Mailing address: PO Box 650782, Dallas, TX 75265-0782

Registered specialties (2)

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 26NJ00207600 (NJ)

Other Nurse Anesthetist, Certified Registered providers in New Jersey →

Registered Nurse

Nursing Service Providers Taxonomy 163W00000X Licence 26NR07270700 (NJ)

Other Registered Nurse providers in New Jersey →

Registry record

NPI: 1043431588
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 May 2007
Record last updated: 20 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.