Doctor Name: | PATRICIA ANN FENSTERMACHER |
NPI Number: | 1043626047 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | R120556-1 |
Business Practice Address: | 689 Airport Center Drive Suite B Friday Harbor, WA - 982509805 |
Business Phone Number: | 3603781338 |
Business Fax Number: | 3603781830 |
Mailing Address: | Po Box 1550, 689 Airport Center Drive, Suite B FRIDAY HARBOR |
State: | WA |
Postal Code: | 98250 |
Phone Number: | 3603781338 |
Fax Number: | 3603781830 |
NPI Enumeration Date: | 07/10/2014 |
NPI Last Update Date: | 07/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | R120556-1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |