| Doctor Name: | JENNIFER ANNE FANUZZI |
| NPI Number: | 1003064593 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 705583 |
| Business Practice Address: | 2100 Dayflower Trce Cedar Park, TX - 786135700 |
| Business Phone Number: | 5129969130 |
| Business Fax Number: | |
| Mailing Address: | 2100 Dayflower Trce, CEDAR PARK |
| State: | TX |
| Postal Code: | 786135700 |
| Phone Number: | 5129969130 |
| Fax Number: | |
| NPI Enumeration Date: | 09/09/2008 |
| NPI Last Update Date: | 09/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WM1400X |
| License Number: | 705583 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Nurse Massage Therapist (NMT) |
| Taxonomy Definition: | |