Fetterman, Lisa R

Fetterman, Lisa R is an individual health care provider with primary practice located at 748 Quincy Ave Suite 2A, Scranton PA 18510-1739. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Fetterman, Lisa R can be contacted via phone (570) 961-0851.

Contact Information

Primary practice address
748 Quincy Ave Suite 2A Scranton PA 18510-1739
Phone: (570) 961-0851
Fax: (570) 344-4285
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN298283L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X VP005134B Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X VP005134B Pennsylvania

Profile Details

NPI number 1316980303
LBN Legal business name Fetterman, Lisa R
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Aug 30th, 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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