Fetalco, Kate
Fetalco, Kate is an individual health care provider with primary practice located at 415 N Pacific Coast Hwy Ste 101 , Redondo Beach CA 90277-2840. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Fetalco, Kate can be contacted via phone (999) 999-9999.Contact Information
Primary practice address
415 N Pacific Coast Hwy Ste 101
Redondo Beach CA 90277-2840
Phone: (999) 999-9999
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 95015060 | California |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95015060 | California |
Profile Details
NPI number | 1306456223 |
---|---|
LBN Legal business name | Fetalco, Kate |
Credentials | FNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 5th, 2020 |
Last updated | Sep 9th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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