| NPI | 1801340807 |
|---|---|
| Former Name | CHRISTA FANELLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP016770) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00660100) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ00660100) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NJ 26NJ00660100) | |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2020-08-31 |