Fetzer, Nicole Marie

Fetzer, Nicole Marie is an individual health care provider with primary practice located at 225 Greenfield Pkwy Ste 105 , Liverpool NY 13088. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Fetzer, Nicole Marie can be contacted via phone (315) 451-6911.

Contact Information

Primary practice address
225 Greenfield Pkwy Ste 105 Liverpool NY 13088
Phone: (315) 451-6911
Fax: (315) 451-1540
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 543801 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 543801 New York

Profile Details

NPI number 1902105273
LBN Legal business name Fetzer, Nicole Marie
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2011
Last updated Jul 22nd, 2023 - about last year

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.

Request for update

Popular Providers