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Individual
EILEEN M FENNELL
Active
Individual
EILEEN M FENNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
26NR18456800
NJ
363L00000X
Nurse Practitioner
26NJ01377700
NJ
363L00000X
Nurse Practitioner
Primary
6NJ01377700
NJ
Other
Enumeration date
07/06/2022
Last updated
10/09/2024
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