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Individual
DANA C FENNELL
Active
Individual
DANA C FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN RN CS
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
61137
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00235326
RAILROAD MEDICARE
NC
Enumeration date
08/16/2006
Last updated
03/03/2008
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