Individual provider · Type 1 NPI

Tami Coleen Fetzer, PNP

Pediatric Nurse Practitioner · Huntington, NY

NPI number 1740441328 Active

Practice location

270 Park Ave
Huntington, NY 11743-2787

Mailing address

120 Ledgewood Dr
Smithtown, NY 11787-4221

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XF381273-1 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1740441328

Tami Coleen Fetzer, PNP's National Provider Identifier is 1740441328, issued on Jun 17, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Huntington, NY. The record was last updated on Jun 17, 2008.