Healthcare Provider Details

I. General information

NPI: 1720892995
Provider Name (Legal Business Name): NATALIE VICTORIA FLETCHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2025
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 UTAH ST
CLEARWATER NE
68726-5439
US

IV. Provider business mailing address

PO BOX 76
CLEARWATER NE
68726-0076
US

V. Phone/Fax

Practice location:
  • Phone: 402-841-5706
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: