Individual
MS. CAROLYN FETTERHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1205 S 28TH ST, HARRISBURG, PA 17111-1046
(717) 558-8085
Mailing address
211 PARMER DR, HALIFAX, PA 17032-9648
(717) 649-1351
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN508628L
PA
314000000X
Skilled Nursing Facility
RN508628L
PA
Other
Enumeration date
11/27/2010
Last updated
11/27/2010
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