Individual provider · Type 1 NPI
Devon Fennelly, CRNP
Adult Health Nurse Practitioner · Malvern, PA
NPI number
1962235713
Active
Practice location
414 Paoli Pike
Malvern, PA 19355-3311
Mailing address
404 Flagstone Cir
Coatesville, PA 19320-1682
Other practice locations
- 11 Industrial Blvd, Paoli, PA 19301-1632 · (610) 467-8910
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | SP029362 (PA) |
| Primary Care Nurse Practitioner | 363LP2300X | SP029362 (PA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | SP029362 (PA) |
Adult Health Nurse Practitioner: Definition to come...
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Other adult health nurse practitioner providers in Malvern
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- Lisa CheaAdult Health Nurse Practitioner Malvern, PA NPI 1982495057
About NPI 1962235713
Devon Fennelly, CRNP's National Provider Identifier is 1962235713, issued on Aug 26, 2024. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Malvern, PA. The record was last updated on Aug 26, 2024.