Individual
CAROLYN FETCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 W PUTNAM AVE, GREENWICH, CT 06830-6080
(203) 413-0630
Mailing address
25 GREEN LN, DURHAM, CT 06422-1904
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12.013729
CT
Other
Enumeration date
04/09/2025
Last updated
07/21/2025
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