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NPI Code Detail

MEDICARE: NICOLE FLETCHER

MEDICARE: NICOLE FLETCHER
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
1247200000XOther Technician
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1831546233
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE FLETCHER
Provider Business Mailing Address
First Line : 4865 BARTON RD
Second Line :
City : WILLIAMSTON
State : MI
Zip : 48895
Country : US
Telephone Number : 517-648-1054
Fax Number :
Provider Business Practice Location Address
First Line : 3600 N GARFIELD ST
Second Line :
City : MIDLAND
State : TX
Zip : 79705-6329
Country : US
Telephone Number : 806-743-3220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2016
Last Update Date : 07/31/2019

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Directions to “ NICOLE FLETCHER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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