Individual
PAUL ANDREW FECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 337-9739
Mailing address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(093) 779-5000
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
041456018
IL
163WP0808X
Psychiatric/Mental Health Registered Nurse
159795
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209030728
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G181050
IA
Other
Enumeration date
09/15/2023
Last updated
10/18/2024
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