Individual
MRS. KATHLEEN M FISCHETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1515 SW ARCHER RD, GAINESVILLE, FL 32608
(352) 265-0111
Mailing address
9424 SW 56TH PL, GAINESVILLE, FL 32608-4332
(727) 488-8012
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9355686
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100610600
—
FL
Enumeration date
07/25/2018
Last updated
01/03/2019
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