Individual
ANGEL FANETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 FRANCISCAN WAY, MICHIGAN CITY, IN 46360-0021
(219) 879-8511
Mailing address
380 CARMODY DR, CHESTERTON, IN 46304-1561
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
5976
CT
Other
Enumeration date
11/05/2014
Last updated
11/25/2022
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