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Mr. Walter Ellsworth Fasenmyer, CRNP
Adult Health Nurse Practitioner in Seneca, Pennsylvania
NPI 1558079384

Walter Ellsworth Fasenmyer is an Adult Health Nurse Practitioner based in Seneca, PA and is specialized in Adult Health. Walter Ellsworth Fasenmyer practices in Seneca, PA and has the professional credentials of CRNP. The NPI Number for Walter Ellsworth Fasenmyer is 1558079384 and holds a License No. SP026575 (Pennsylvania).

The current practice location address for Walter Ellsworth Fasenmyer is 100 Fairfield Dr, Seneca, PA and can be reached out via phone at 814-676-7900.

Location: 100 Fairfield Dr, Seneca, PA, 16346-2130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558079384
Provider Name
Walter Ellsworth Fasenmyer
Credential
CRNP
Provider Entity Type
Individual
Gender
Male
Address
100 Fairfield Dr, Seneca, PA, 16346-2130
Phone Number
814-676-7900
Fax Number
Provider Enumeration Date
11/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Fairfield Dr
City
Seneca
State
Pennsylvania
Zip
16346-2130
Phone Number
814-676-7900
Fax Number
person
Provider Business Mailing Address Details
Address
100 Fairfield Dr
City
Seneca
State
Pennsylvania
Zip
16346-2130
Phone Number
814-676-7900
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
SP026575 (Pennsylvania)
Definition
Definition to come...
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