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NPI Code Detail

MEDICARE: JOSHUA FESEL CRNA

MEDICARE: JOSHUA FESEL CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist224380NC

General Provider Information

NPI Number : 1295126043
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA FESEL CRNA
Provider Business Mailing Address
First Line : 13808 PROFESSIONAL CENTER DR
Second Line :
City : HUNTERSVILLE
State : NC
Zip : 28078-7948
Country : US
Telephone Number : 704-377-4009
Fax Number :
Provider Business Practice Location Address
First Line : 13808 PROFESSIONAL CENTER DR
Second Line :
City : HUNTERSVILLE
State : NC
Zip : 28078-7948
Country : US
Telephone Number : 704-377-4009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2015
Last Update Date : 12/30/2025

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