KYLE J FECTEAU NPI 1811652480

NPI Information

NPI: 1811652480
Provider Name: KYLE J FECTEAU
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
1305 N MARTIN AVE
TUCSON, AZ
ZIP 85721
Phone: (520) 626-3808
Get Directions

Kyle J Fecteau is an acute care nurse practitioner in Tucson, AZ with 3 years of experience. Kyle J Fecteau NPI is 1811652480. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1305 N MARTIN AVE
TUCSON, AZ
ZIP 85721-505
Phone: (520) 626-3808

The NPI 1811652480 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/8/2021 and was last updated on 2/3/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN192626	ARIZONA	No
2	163WC0200X	Registered Nurse	Critical Care Medicine	12743151	ARIZONA	No
3	363LA2100X	Nurse Practitioner	Acute Care	269868	ARIZONA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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