STEFANA FANELLI RDN - NPI 1063090777 - Dietitian, Registered in Roseville, MI

Q: What is Stefana Fanelli's NPI number?

The NPI number for Stefana Fanelli is 1063090777. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Q: What is Stefana Fanelli's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Stefana Fanelli was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Stefana Fanelli Rdn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEFANA FANELLI RDN (NPI 1063090777) is an individual dietitian, registered in Roseville, Michigan, licensed in Michigan (86102779) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1063090777

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameSTEFANA FANELLICredential: RDN

Location Address25710 KELLY RD STE 1Roseville, MI 48066-4959

Mailing Address25710 Kelly Rd Ste 1Roseville, MI 48066-4959 · (586) 772-2600 · Fax (586) 772-5289

Phone(586) 772-2600

Fax(586) 772-5289

Sole ProprietorYes

Enumeration DateApril 1, 2021

NPPES CertifiedApril 1, 2021

✔ NPI 1063090777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in MI · 86102779

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

25710 KELLY RD STE 1, Roseville, MI 48066

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. RANA ISSA DNP, RN, FNP-BC

Nurse Practitioner (Family)