Individual
MICHELE JEAN FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
235 ALPHA DR, PITTSBURGH, PA 15238-2940
(877) 868-4827
(877) 283-0663
Mailing address
5430 NW 33RD AVE STE 106, FT LAUDERDALE, FL 33309-6349
(412) 779-2101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP010621
PA
Other
Enumeration date
03/01/2010
Last updated
07/28/2010
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