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Individual

JOSEPHINE FANELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
600 MOYE BLVD, GREENVILLE, NC 27834-4300
(252) 744-1959
(252) 744-1200
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
SP015784
PA
363L00000X
Nurse Practitioner
Primary
5022742
NC
363L00000X
Nurse Practitioner
RN652484
PA

Other

Enumeration date
12/04/2015
Last updated
12/03/2025
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