Susan Ann Fetzer, LPN
Licensed Practical Nurse in Medina, OH. Individual provider (NPI-1).
NPI number1689260366
StatusActive
Last updated in NPPESDec 16, 2020
Details
- NPI
- 1689260366
- Entity type
- Individual (NPI-1)
- Name
- Susan Ann Fetzer
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 16, 2020
- Certification date
- Dec 16, 2020
- Last updated
- Dec 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 145719 | OH | Yes |
Practice location
801 E Washington St Ste 150Medina, OH 44256-3336
Phone 330-722-1069 · Fax 330-764-9712
Mailing address
801 E Washington St Ste 150Medina, OH 44256-3336
Phone 330-722-1069 · Fax 330-764-9712
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All 48 Licensed Practical Nurse providers in Medina · All 2,026 providers in Medina
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