Individual provider · Type 1 NPI

Collette Marie Fearneyhough, PNP

Pediatric Nurse Practitioner · Sacramento, CA

NPI number 1477516763 Active

Practice location

1625 Stockton Blvd, #106
Sacramento, CA 95816

Fax (916) 269-9012

Mailing address

10470 Old Placerville Rd, Suite 100
Sacramento, CA 95827-2539

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XNP8810 (CA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1477516763

Collette Marie Fearneyhough, PNP's National Provider Identifier is 1477516763, issued on Apr 8, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Sacramento, CA. The record was last updated on Jul 24, 2015.