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Walter Fetterley, CRNA
NPI 1891803482 · on the registry since 2006
Practice
- Address
- 621 Reserve St
Boise, ID 83712 - Phone
- (208) 559-7162
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-11-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho