Individual provider · Type 1 NPI
Paul Andrew Fecht, NURSE PRACTITIONER
Psychiatric/Mental Health Nurse Practitioner · Rock Island, IL
NPI number
1215715982
Active
Practice location
2701 17th St
Rock Island, IL 61201-5351
Other practice locations
- 2200 3rd Ave, Rock Island, IL 61201-8840 · (309) 779-2094
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 159795 (IA) |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 041456018 (IL) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209030728 (IL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | G181050 (IA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1215715982
Paul Andrew Fecht, NURSE PRACTITIONER's National Provider Identifier is 1215715982, issued on Sep 15, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Rock Island, IL. The record was last updated on Oct 18, 2024.