Individual
COLLETTE MARIE FEARNEYHOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1625 STOCKTON BLVD, #106, SACRAMENTO, CA 95816
(916) 262-9002
(916) 269-9012
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP8810
CA
Other
Enumeration date
04/08/2006
Last updated
07/24/2015
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