National Provider Identifier
Carolyn Ann Fetes, RN
Carolyn Ann Fetes, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Kenmore, NY and a listed phone number of (716) 909-2289.
Profile Overview
- NPI
- 1093396533
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- April 16, 2021
- Last Updated
- April 16, 2021
Practice Location
- 117 Palmer Ave
- Kenmore, NY 14217-1911
Phone: (716) 909-2289
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1093396533
- Entity Type
- Individual
- Last Name
- Fetes
- First Name
- Carolyn
- Middle Name
- Ann
- Credential
- RN
- Mailing Street Address
- 117 Palmer Ave
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-1911
- Mailing Country
- US
- Mailing Phone
- (716) 909-2289
- Practice Street Address
- 117 Palmer Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1911
- Practice Country
- US
- Practice Phone
- (716) 909-2289
- Enumeration Date
- April 16, 2021
- Last Updated
- April 16, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Multiple Single Specialty Group
- Certification Date
- April 16, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)