| Mrs Jacqualyn S Fanelle, CRNA | |
|
1505 W Sherman Ave, Vineland, NJ 08360-6912 | |
| (856) 641-7859 | |
| (856) 641-7671 |
| Full Name | Mrs Jacqualyn S Fanelle |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1505 W Sherman Ave, Vineland, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043431588 | NPI | - | NPPES |
| 39668 | Other | AANA | |
| P00795657 | Other | NJ | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 26NR07270700 (New Jersey) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 26NJ00207600 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jacqualyn S Fanelle, CRNA Po Box 650782, Dallas, TX 75265-0782 Ph: (866) 709-4546 | Mrs Jacqualyn S Fanelle, CRNA 1505 W Sherman Ave, Vineland, NJ 08360-6912 Ph: (856) 641-7859 |
Victoria Marie Marshall, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360 Phone: 609-970-8487 | |
Colleen T Mazzoni, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360 Phone: 302-709-4497 Fax: 302-733-0854 | |
Lindsay Hearing, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360 Phone: 856-641-8000 | |
Megan Elizabeth Tomasco, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360 Phone: 856-641-8000 Fax: 610-789-9937 | |
Laura Ann Mendelsohn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1133 E Chestnut Ave, Vineland, NJ 08360 Phone: 856-507-0800 | |
Jessica Milburn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360 Phone: 856-641-8000 Fax: 856-641-7668 | |
Kevin Ryan Scott, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1505 W Sherman Ave, Vineland, NJ 08360 Phone: 856-641-8000 |