Individual
AMANDA FETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2125 RIVER RD STE 301, NISKAYUNA, NY 12309-1136
(518) 280-8470
(518) 280-8471
Mailing address
6 WELLNESS WAY STE 201, LATHAM, NY 12110-2156
(518) 782-3700
(518) 782-3799
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
357231
NY
Other
Enumeration date
06/04/2025
Last updated
06/30/2025
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