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Individual

MARIE R. FETTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.N.M., N.P.

Contact information

Practice address
8709 FLOWER AVE, MARYS CENTER, SILVER SPRING, MD 20901-4035
(240) 485-3175
Mailing address
8709 FLOWER AVE, MARYS CENTER, SILVER SPRING, MD 20901-4035
(240) 485-3175

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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