Individual
ANGELA ANN FASANELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
17739 MAIN ST STE 110, DUMFRIES, VA 22026-3256
(703) 574-3415
(757) 452-5768
Mailing address
17739 MAIN ST STE 110, DUMFRIES, VA 22026-3256
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024173959
VA
Other
Enumeration date
09/12/2016
Last updated
09/19/2024
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