Individual
ANGELA ANN FASANELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
219 STATE AVE N # 200, KENT, WA 98030-4543
(253) 372-7849
(253) 372-7844
Mailing address
PO BOX 5299, MS: 820-5-PCO, TACOMA, WA 98415-0299
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024173959
VA
363LF0000X
Family Nurse Practitioner
Primary
ARNP.AP.61153619-NP
WA
Other
Enumeration date
09/12/2016
Last updated
07/13/2026
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