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Contact Information

KRISTEN E BARNETTE FETTY, AGNP-C
PO BOX 19305
CHARLOTTE, NC28219-9305
 Phone: 704-607-3249
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KRISTEN E BARNETTE FETTY · (Female)

NPI # 1073901328
Status Active
Credentials AGNP-C
Entity Individual
Enumeration date 01/08/2015
Last updated 08/04/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • NC License # 5007372
  • NC Other 19BX1 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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