Type 1 individualNPI 1003439340
VICTORIA FETTER
101YM0800X · BLOOMINGTON, IL
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 101YM0800X | 101YM0800X | Primary |
| 101Y00000X | 101Y00000X | Additional |
| 101YP2500X | 101YP2500X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s