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Individual
MARIE R. FETTER
Active
Individual
MARIE R. FETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M., N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
R101329
MD
367A00000X
Advanced Practice Midwife
Primary
R101329
MD
367A00000X
Advanced Practice Midwife
RN1013418
DC
Other
Enumeration date
05/27/2005
Last updated
11/29/2011
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