Active NPIIndividual provider

Carolyn Fetchel

Nurse Practitioner, Family in Greenwich, Connecticut

NPI Number1396539680
Practice location
600 W Putnam Ave, Greenwich, CT 06830-6080
Fax
—
Last updated
July 21, 2025

Carolyn Fetchel is a Nurse Practitioner, Family based in Greenwich, CT. Carolyn Fetchel practices in Greenwich, CT. The NPI Number for Carolyn Fetchel is 1396539680 and holds a License No. 12.013729 (CT). The current practice location address for Carolyn Fetchel is 600 W Putnam Ave, Greenwich, CT 06830-6080 and can be reached out via phone at 203-413-0630.

Provider Profile Details

NPI Number
1396539680
Provider Name
Carolyn Fetchel
Provider Entity Type
Individual
Gender
Female
Address
600 W Putnam Ave, Greenwich, CT 06830-6080
Phone Number
203-413-0630
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
April 9, 2025
Last Update Date
July 21, 2025
Certification Date
July 21, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
600 W Putnam Ave
Greenwich, CT 06830-6080
Zip
06830-6080
Phone Number
203-413-0630
Greenwich, CT 06830Get directions →

Provider Business Mailing Address Details

Address
25 Green Ln
Durham, CT 06422-1904
City
Durham
State
CT
Zip
06422-1904

License Information

License Number
12.013729
License State
CT
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Carolyn Fetchel?

The NPI number of Carolyn Fetchel is 1396539680. It was assigned on April 9, 2025 and is currently active in the NPPES registry.

What is the specialty of Carolyn Fetchel?

Carolyn Fetchel is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 12.013729.

Where does Carolyn Fetchel practice?

The practice location is 600 W Putnam Ave, Greenwich, CT 06830-6080. The office can be reached at 203-413-0630 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396539680 directly on the NPPES registry website.

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