| Lannette Marie Fetzer, CRNP, FNP-BC | |
|
4136 Green Gates Ln, Tyrone, PA 16686-3032 | |
| () - | |
| Not Available |
| Full Name | Lannette Marie Fetzer |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4136 Green Gates Ln, Tyrone, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760119614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP021432 (Pennsylvania) | Primary |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191216001523 |
| Mailing Address | Practice Location Address |
|---|---|
| Lannette Marie Fetzer, CRNP, FNP-BC 4136 Green Gates Ln, Tyrone, PA 16686-3032 Ph: (814) 880-8506 | Lannette Marie Fetzer, CRNP, FNP-BC 4136 Green Gates Ln, Tyrone, PA 16686-3032 Ph: () - |
Morgan Sage Goldizen, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 522 Oak St, Tyrone, PA 16686 Phone: 814-650-9000 | |
Adam Powers, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 509 W 20th St, Tyrone, PA 16686 Phone: 814-934-2685 Fax: 814-527-3137 | |
Dawn Renee Landeck, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 951 Washington Ave, Tyrone, PA 16686 Phone: 814-684-0320 | |
Ashley Mcmanigal, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 509 W 20th St, Tyrone, PA 16686 Phone: 814-312-3486 |