IndividualActive
Angela Fetty
NPI 1093128530 · Critical Care Pediatric Nurse Practitioner · Baltimore, MD
Provider details
- NPI number
- 1093128530
- Entity type
- Individual
- Primary specialty
- Critical Care Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- R197016 (MD)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
22 S Greene St
Baltimore, MD 21201-1544
Phone: (410) 328-6453
Approximate (ZIP-level) locationGet directions
Mailing address
22 S Greene St
Baltimore, MD 21201-1544
Registry dates
- Enumerated
- 2014-06-03
- Last updated
- 2022-04-07
- Certified
- 2022-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.