Active NPIIndividual provider

Mrs. Jacqualyn S Fanelle, CRNA

Nurse Anesthetist, Certified Registered in Vineland, New Jersey

NPI Number1043431588
Practice location
1505 W Sherman Ave, Vineland, NJ 08360-6912
Fax
856-641-7671
Last updated
September 20, 2013

Jacqualyn S Fanelle is a Nurse Anesthetist, Certified Registered based in Vineland, NJ. Jacqualyn S Fanelle practices in Vineland, NJ and has the professional credentials of CRNA. The NPI Number for Jacqualyn S Fanelle is 1043431588 and holds a License No. 26NR07270700 (NJ). The current practice location address for Jacqualyn S Fanelle is 1505 W Sherman Ave, Vineland, NJ 08360-6912 and can be reached out via phone at 856-641-7859 and via fax at 856-641-7671.

Provider Profile Details

NPI Number
1043431588
Provider Name
Jacqualyn S Fanelle
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
1505 W Sherman Ave, Vineland, NJ 08360-6912
Phone Number
856-641-7859
Fax Number
856-641-7671
Primary Taxonomy
Nurse Anesthetist, Certified Registered · 367500000X
Sole Proprietor
No
Other Names
-- Jacqualyn M Sweeney (Former Name)
Provider Enumeration Date
May 1, 2007
Last Update Date
September 20, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
1505 W Sherman Ave
Vineland, NJ 08360-6912
Zip
08360-6912
Phone Number
856-641-7859
Fax Number
856-641-7671
Vineland, NJ 08360Get directions →

Provider Business Mailing Address Details

Address
Po Box 650782
Dallas, TX 75265-0782
City
Dallas
State
TX
Zip
75265-0782
Phone Number
866-709-4546
Fax Number
302-733-0854

License Information

License Number (1)
26NR07270700
License State (1)
NJ
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
26NJ00207600
License State (2)
NJ
Taxonomy (2)
Nurse Anesthetist, Certified Registered · 367500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Jacqualyn S Fanelle, CRNA?

The NPI number of Mrs. Jacqualyn S Fanelle, CRNA is 1043431588. It was assigned on May 1, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jacqualyn S Fanelle, CRNA?

Mrs. Jacqualyn S Fanelle, CRNA is registered under the primary taxonomy Nurse Anesthetist, Certified Registered (code 367500000X), licensed in NJ under license number 26NR07270700.

Where does Mrs. Jacqualyn S Fanelle, CRNA practice?

The practice location is 1505 W Sherman Ave, Vineland, NJ 08360-6912. The office can be reached at 856-641-7859 (phone) or 856-641-7671 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043431588 directly on the NPPES registry website.

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