Healthcare Provider Details

I. General information

NPI: 1811852445
Provider Name (Legal Business Name): JULIA ESTELLE FLETCHER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2025
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5927 LINDENHURST AVE
LOS ANGELES CA
90036-3218
US

IV. Provider business mailing address

5927 LINDENHURST AVE
LOS ANGELES CA
90036-3218
US

V. Phone/Fax

Practice location:
  • Phone: 318-366-1048
  • Fax:
Mailing address:
  • Phone: 318-366-1048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR1000X
TaxonomyReproductive Endocrinology/Infertility Registered Nurse
License Number747651
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: