# MRS. AVALON DIBNER FENNESSEY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1487083978
- **Gender:** F
- **Credential:** CPNP-PC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 113331 | CT | — |
| 163W00000X | Registered Nurse | L1-0042593 | DE | — |
| 163W00000X | Registered Nurse | RN61411 | ME | — |
| 163W00000X | Registered Nurse | RN634654 | PA | — |
| 363LP0200X | Pediatric Nurse Practitioner | 5598 | CT | Yes |

## Other

- **Enumeration date:** 11/05/2013
- **Last updated:** 09/30/2014