Individual
MICHELLE IANNELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
655 SHREWSBURY AVE, SHREWSBURY, NJ 07702-4179
(732) 263-7903
Mailing address
9 STONEHURST TER, HAZLET, NJ 07730-1826
(732) 687-8111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01178000
NJ
Other
Enumeration date
08/19/2021
Last updated
03/22/2023
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