# DR. DONNA J.C. FANELLI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1750362679
- **Gender:** F
- **Credential:** DNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2100X | Acute Care Nurse Practitioner | 26NN06605500 | NJ | — |
| 363LA2100X | Acute Care Nurse Practitioner | F430118-1 | NY | — |
| 363LA2200X | Adult Health Nurse Practitioner | 26NN06605500 | NJ | — |
| 363LA2200X | Adult Health Nurse Practitioner | F303208-1 | NY | Yes |

## Other

- **Enumeration date:** 11/08/2005
- **Last updated:** 12/02/2019
