Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRETCHEN WAYNE FAWCETT, PA-C
ActiveGRETCHEN WAYNE FAWCETT, PA-C is a Physician Assistant healthcare provider located in LEWISTOWN, Illinois. NPI 1588758700 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LEWISTOWN, IL
Registration Details
- NPI Number
- 1588758700
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 3, 2006 (19.863490713261 yrs)
- Last Updated
- Apr 6, 2021
- License
-
85001592 (IL)
Practice Information
- Address
-
408 S MAIN STLEWISTOWN, IL, 615421563Browse IL providers · Browse ZIP 61542
- Phone
- 3095479700
- Fax
- 3096496880
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.