| Doctor Name: | MS. RAELYN KATHERINE EANNELLI |
| NPI Number: | 1124052451 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APNP |
| License Number: | 2503 |
| Business Practice Address: | 405 Water St Prairie Du Sac, WI - 535781126 |
| Business Phone Number: | 6086433396 |
| Business Fax Number: | 6086434361 |
| Mailing Address: | 4525 Pawnee Pass, FITCHBURG |
| State: | WI |
| Postal Code: | 537114711 |
| Phone Number: | 6082719031 |
| Fax Number: | |
| NPI Enumeration Date: | 07/11/2006 |
| NPI Last Update Date: | 09/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LC0200X |
| License Number: | 2503 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Critical Care Medicine |
| Taxonomy Definition: | |