Individual
ANDREA FANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(609) 320-3525
Mailing address
509 HAZELTINE CIR, MOORESTOWN, NJ 08057-3996
(609) 320-3525
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP026949
PA
Other
Enumeration date
03/13/2023
Last updated
03/20/2023
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