Individual
DANIELLE FETTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1001 WILLOW CREEK RD STE 2200, PRESCOTT, AZ 86301-1614
(928) 445-6025
(928) 778-3026
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA7552
MA
363AM0700X
Medical Physician Assistant
Primary
8907
AZ
Other
Enumeration date
09/11/2015
Last updated
01/30/2025
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