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

Individual provider Internal Medicine Physician · NPI 1902105273

Nicole Marie Fetzer, CRNA is an Internal Medicine Physician in Liverpool, New York. Works from 3 locations. Licensed in New York.

Licensed in
NY
In the registry since
2011
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

225 Greenfield Pkwy Ste 105
Liverpool, NY 13088
Phone: (315) 451-6911
Fax: (315) 451-1540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 225 Greenfield Pkwy Ste 105, Liverpool, NY 13088 — (315) 451-6911
  • 4900 Broad Rd, Syracuse, NY 13215-2265 — (315) 492-5522

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 543801 (NY)
Internal Medicine Physician Taxonomy 207R00000X · Licence 543801 (NY)

Record details

NPI number1902105273
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMarch 25, 2011
Last updated in NPPESJuly 22, 2023

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