MRS. JENNIFER ETTERS FENDO OTR
NPI 1679793012
Specialist in North Wales, PA

Q: What is Jennifer Fendo's NPI number?

The NPI number for Jennifer Fendo is 1679793012. It was assigned to this individual provider in the NPPES registry on April 26, 2007. The provider is also known as Miss Jennifer Lee Etters Otr.

Q: What is Jennifer Fendo's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Fendo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 26, 2007

218 S MAIN ST, APARTMENT B, NORTH WALES, PA 19454(215) 616-2412 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Jennifer Etters Fendo Otr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JENNIFER ETTERS FENDO OTR (NPI 1679793012) is an individual specialist in North Wales, Pennsylvania, licensed in Pennsylvania (OC003930L) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1679793012

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMRS. JENNIFER ETTERS FENDOCredential: OTR

Location Address218 S MAIN ST, APARTMENT BNorth Wales, PA 19454-3410

Mailing Address218 S Main St, Apartment BNorth Wales, PA 19454-3410 · (215) 616-2412

Phone(215) 616-2412

Sole ProprietorNo

Enumeration DateApril 26, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1679793012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in PA · OC003930L

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

218 S MAIN ST, North Wales, PA 19454

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Other Names 1

Former Name (1)Miss Jennifer Lee Etters Otr

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Fendo's NPI number?

The NPI number for Jennifer Fendo is 1679793012. It was assigned to this individual provider in the NPPES registry on April 26, 2007. The provider is also known as Miss Jennifer Lee Etters Otr.

Where is Jennifer Fendo located?

Jennifer Fendo practices at 218 S Main St Apartment B, North Wales, PA 19454. The listed phone number is (215) 616-2412.

What is Jennifer Fendo's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jennifer Fendo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.