Individual
ANNE MARIE M. FETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
1331 W 75TH ST STE 201, NAPERVILLE, IL 60540-9311
(630) 527-7205
(630) 527-7139
Mailing address
4201 WINFIELD RD, CENTRALIZED SERVICES, CREDENTIALING 4TH FL, WARRENVILLE, IL 60555
(630) 646-3388
(331) 221-2357
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041354703
IL
363L00000X
Nurse Practitioner
Primary
209011820
IL
363LF0000X
Family Nurse Practitioner
209011820
IL
363LF0000X
Family Nurse Practitioner
Primary
F0614938
IL
Other
Enumeration date
10/16/2014
Last updated
05/11/2026
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