MS. NICOLE FANELLI (NPI# 1306942719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306942719 |
Entity Type | Individual |
Full Name | MS. NICOLE FANELLI |
Credential | NP |
Practice Address |
711 W Florence Ave Los Angeles CA 90044-6105 |
Practice Telephone | 3237895610 |
Mailing Telephone | 3237895610 |
Enumeration Date | 2006-09-15 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
16846 | CA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104312719 | Nicole Fanelli | Case Manager/Care Coordinator | 50 Vantage Point Dr Ste 4, Rochester, NY 14624-1180 | 2018-07-06 |
1790189926 | Nicole Renee Fanelli | Nurse Anesthetist, Certified Registered | 3400 Civic Center Blvd, Philadelphia, PA 19104-5127 | 2014-10-17 |
Street Address |
711 W FLORENCE AVE |
City | LOS ANGELES |
State | CA |
Zip Code | 90044-6105 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639198260 | Jacqueline Bowles | Internal Medicine | 711 W Florence Ave, Los Angeles, CA 90044-6105 | 2006-07-18 |
1194013417 | Sahar Mustafa Abdelrahman | Internal Medicine | 711 W Florence Ave, Los Angeles, CA 90044-6105 | 2011-07-20 |
1225229248 | University Muslin Medical Association, Inc. | Clinic/Center | 711 W Florence Ave, Los Angeles, CA 90044-6105 | 2007-08-05 |
1245369263 | Jenny Sun Pan | Dentist | 711 W Florence Ave, Los Angeles, CA 90044-6105 | 2007-03-05 |
1932235264 | Yohanna Barth-rogers | Family Medicine | 711 W Florence Ave, Los Angeles, CA 90044-6105 | 2007-02-23 |
1720171242 | University Muslim Medical Association, Inc | Clinic/Center | 711 W Florence Ave, Los Angeles, CA 90044 | 2006-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386135671 | Park Professional Dental Corp | Dentist | 600 W Manchester Ave Ste 2, Los Angeles, CA 90044 | 2018-05-23 |
1851831218 | Latisha Samantha Carter | Licensed Vocational Nurse | 521 W 97th St., Los Angeles, CA 90044 | 2017-03-06 |
1669928230 | Travel & Ground Network Inc. | Non-emergency Medical Transport (VAN) | 605 West 113 Th. Street, Los Angeles, CA 90044 | 2016-09-01 |
1295100642 | Scharp | Community/Behavioral Health | 8836 Vermont Ave, Los Angeles, CA 90044 | 2015-12-10 |
1356714851 | Euna Lee | Pharmacist | 5822 S Vermont Avenue, Los Angeles, CA 90044 | 2015-11-05 |
1518384338 | Kiniko Willingham | Social Worker | 1050 W 91st St, Los Angles, CA 90044 | 2014-03-19 |
1619211422 | Los Angeles Christian Health Centers | Clinic/Center | 8511 1/2 Vermont Street, Los Angeles, CA 90044 | 2012-11-16 |
1891047510 | Yvonne Henderson | Marriage & Family Therapist | 8730 S. Vermont Ave, Los Angeles, CA 90044 | 2012-10-04 |
1669722534 | Diana Gutierrez | Counselor | 9001 S. Vermont Ave., Los Angeles, CA 90044 | 2012-09-18 |
1720343304 | Rocio Cortez | Counselor | 90001 South Vermont Ave, Los Angeles, CA 90044 | 2012-07-10 |
Find all providers in zip 90044 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962003640 | Samira Kadri | Nurse Practitioner | 431 S Burnside Ave Apt 3g, Los Angeles, CA 90036-5343 | 2020-11-08 |
1528672110 | Christopher Tria Coronel | Nurse Practitioner | 3435 Garden Ave, Los Angeles, CA 90039-1919 | 2020-09-01 |
1871119701 | Carina Lizette Guerra | Nurse Practitioner | St. John's Well Child and Family Center, Inc., 808 W. 58th Street, Los Angeles, CA 90037 | 2020-06-16 |
1548884216 | En Route Medical Staffing LLC | Nurse Practitioner | 3705 W Pico Blvd Ste 1714, Los Angeles, CA 90019-3451 | 2020-05-29 |
1922621432 | Latasha Tracy Warren | Nurse Practitioner | 1720 N Fuller Ave Apt 450, Los Angeles, CA 90046-3076 | 2020-05-19 |
1578184966 | Shin Il Kim | Nurse Practitioner | 450 Bauchet St Fl 8, Los Angeles, CA 90012-2907 | 2020-04-27 |
1457971160 | Karen Kim-chang | Nurse Practitioner | 450 Bauchet St Rm E815, Los Angeles, CA 90012-2907 | 2020-04-22 |
1912534033 | Anthony Felipe Banuelos Villa | Nurse Practitioner | 3437 Ellison St, Los Angeles, CA 90063-1901 | 2020-03-26 |
1629605506 | Ana Yely Nunez Nunez | Nurse Practitioner | 6017 Miramonte Blvd, Los Angeles, CA 90001-1327 | 2020-03-23 |
1154957769 | Maybel Deguzman Dumlao | Nurse Practitioner | 4371 Stewart Ave, Los Angeles, CA 90066-6133 | 2020-03-14 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90044 |
Please comment or provide details below to improve the information on MS. NICOLE FANELLI.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.