MEDICARE: JOANNA F FLETCHER CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	22796	SC
2	367500000X	Certified Registered Nurse Anesthetist	974352	NY
3	367500000X	Certified Registered Nurse Anesthetist	5486	NC
4	367500000X	Certified Registered Nurse Anesthetist	209-030532	IL
5	367500000X	Certified Registered Nurse Anesthetist	0024195801	VA

General Provider Information

NPI Number	:	1447489794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNA F FLETCHER CRNA

Provider Business Mailing Address
First Line	:	423 WOODBRIDGE DR
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25311-9731
Country	:	US
Telephone Number	:	304-541-4737
Fax Number	:

Provider Business Practice Location Address
First Line	:	423 WOODBRIDGE DR
Second Line	:
City	:	CHARLESTON
State	:	WV
Zip	:	25311-9731
Country	:	US
Telephone Number	:	304-541-4737
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2009
Last Update Date	:	05/21/2026

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