MICHAEL EDWARD FANELLI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021539

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

EDWARD

Last Name

FANELLI

Business Name

MICHAEL EDWARD FANELLI

Original Issue Date

06/29/2020

Effective Date

03/06/2026

Expiration Date

05/31/2028

City

WASHINGTON

State

Zip

20036

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/06/2026