Provider Demographics
NPI:1093098790
Name:SPINELLI, JEANETTE (RN)
Entity Type:Individual
Prefix:MRS
First Name:JEANETTE
Middle Name:
Last Name:SPINELLI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:PORT CHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10573-5004
Mailing Address - Country:US
Mailing Address - Phone:914-934-8046
Mailing Address - Fax:914-939-3190
Practice Address - Street 1:18 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:PORT CHESTER
Practice Address - State:NY
Practice Address - Zip Code:10573-5004
Practice Address - Country:US
Practice Address - Phone:914-934-8046
Practice Address - Fax:914-939-3190
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-20
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY347826-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse