IndividualActive
Shae Fetters, CFA
NPI 1982803417 · Surgical Technologist · Provo, UT
Provider details
- NPI number
- 1982803417
- Entity type
- Individual
- Primary specialty
- Surgical TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- CFA
- Sex
- Male
- Sole proprietor
- Yes
Practice location
3214 N University Ave # 123
Provo, UT 84604-4405
Phone: (801) 319-0371
Mailing address
3214 N University Ave # 123
Provo, UT 84604-4405
Registry dates
- Enumerated
- 2007-07-14
- Last updated
- 2007-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.