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Contact Information

JENNIFER D FANELLI, RN
3330 W 4000 S APT G205
WEST HAVEN, UT84401-9543
 Phone: 541-604-6875
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for JENNIFER D FANELLI · (Female)

NPI Number 1497483010
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 08/11/2022
Last updated 08/11/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • UT License # 12950044
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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