Individual
FAWN EUTZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
112 N 7TH ST, CHAMBERSBURG, PA 17201-1720
(717) 262-4546
(717) 263-1146
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP019549
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103619772
—
PA
Enumeration date
02/06/2019
Last updated
06/20/2024
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