Fanello, Deana Kay

Fanello, Deana Kay is an individual health care provider with primary practice located at 335 Glessner Ave , Mansfield OH 44903-2269. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Fanello, Deana Kay can be contacted via phone (419) 756-8899.

Contact Information

Primary practice address
335 Glessner Ave Mansfield OH 44903-2269
Phone: (419) 756-8899
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X COA.11614-NP Ohio

Profile Details

NPI number 1184770810
LBN Legal business name Fanello, Deana Kay
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jan 25th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184770810 NPPES
Ohio MEDICAID 3084942

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