Individual provider · Type 1 NPI

Angela Ann Fasanella, FNP-BC

Family Nurse Practitioner · Kent, WA

NPI number 1043768682 Active

Practice location

219 State Ave N # 200
Kent, WA 98030-4543

Fax (253) 372-7844

Mailing address

PO Box 5299, Ms: 820-5-PCO
Tacoma, WA 98415-0299

Other practice locations

  • 17739 Main St Ste 110, Dumfries, VA 22026-3256 · (703) 574-3415
  • 9009 Silverbrook Rd, Fairfax Station, VA 22039-2607 · (866) 389-2727
  • 14904 Jefferson Davis Hwy Ste 208, Woodbridge, VA 22191 · (703) 224-9999

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X0024173959 (VA)
Family Nurse Practitioner Primary 363LF0000XARNP.AP.61153619-NP (WA)

Family Nurse Practitioner: Definition to come...

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About NPI 1043768682

Angela Ann Fasanella, FNP-BC's National Provider Identifier is 1043768682, issued on Sep 12, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kent, WA. The record was last updated on Jul 13, 2026.