Kristina Fetterman
Individual provider Active NPI Home Health Aide · Sullivan, OH
NPI 1700634896 · NPPES record last updated May 13, 2024
Key facts
- NPI
- 1700634896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 277 Township Road 350
Sullivan, OH 44880-9701 - Phone
- (419) 921-6598
- NPI assigned
- May 13, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
277 Township Road 350
Sullivan, OH 44880-9701
Mailing address
506 Merganzer Dr
Huron, OH 44839-9162
Phone (440) 865-8820
Other providers in Sullivan, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.