Individual
NATALIE FISCHETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 NOVELL PL, PROVO, UT 84606-6171
(814) 619-6517
Mailing address
1800 NOVELL PL, PROVO, UT 84606-6171
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14266196-1206
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
03/27/2026
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