Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mae PET Fetherlin, FNP

Individual provider Family Nurse Practitioner · NPI 1336092360

Mae PET Fetherlin, FNP is a Nurse Practitioner in El Cajon, California. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
1
Licensed in
CA
In the registry since
2026
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1634 Plantation Way
El Cajon, CA 92019-3603
Phone: (619) 395-8558
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95038618 (CA)

Record details

NPI number1336092360
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedFebruary 18, 2026
Last updated in NPPESFebruary 18, 2026
Certification dateFebruary 18, 2026
Mailing address1634 Plantation Way, El Cajon, CA 92019-3603

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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