MEDICARE: MS. SHEILA MARIE FLUETSCH PA-C

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	363AM0700X	Medical Physician Assistant

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0243872	OTHER	WA	L&I
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	8949779	OTHER	WA	L&I CRIME VICTIMS
4	2663FL	OTHER	WA	REGENCE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669520029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHEILA MARIE FLUETSCH PA-C

Provider Business Mailing Address
First Line	:	709 W ORCHARD DR
Second Line	:	SUITE #4
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-1766
Country	:	US
Telephone Number	:	360-318-8800
Fax Number	:	360-318-1085

Provider Business Practice Location Address
First Line	:	5580 NORDIC PL
Second Line	:
City	:	FERNDALE
State	:	WA
Zip	:	98248-9138
Country	:	US
Telephone Number	:	360-384-1511
Fax Number	:	360-384-5758

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

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	03/12/2009

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