Individual provider · Type 1 NPI
Walter Ellsworth Fasenmyer, CRNP
Adult Health Nurse Practitioner · Seneca, PA
NPI number
1558079384
Active
Practice location
100 Fairfield Dr
Seneca, PA 16346-2130
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | SP026575 (PA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1558079384
Walter Ellsworth Fasenmyer, CRNP's National Provider Identifier is 1558079384, issued on Nov 10, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Seneca, PA. The record was last updated on Jul 30, 2026.