Individual
LANNETTE MARIE FETZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP, FNP-BC
Contact information
Practice address
4136 GREEN GATES LN, TYRONE, PA 16686-3032
Mailing address
4136 GREEN GATES LN, TYRONE, PA 16686-3032
(814) 880-8506
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP021432
PA
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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