Individual
KATHRYN FISCHER OETJENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
120 HAMM DR., LEWISBURG, PA 17837-6036
(570) 522-9430
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP017533
PA
363LF0000X
Family Nurse Practitioner
196481
TN
363LF0000X
Family Nurse Practitioner
4704308885
MI
363LG0600X
Gerontology Nurse Practitioner
196481
TN
363LG0600X
Gerontology Nurse Practitioner
4704308885
MI
Other
Enumeration date
11/29/2014
Last updated
09/01/2020
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