| NPI | 1659692200 |
|---|---|
| Former Name | STEPHANIE ANN FLETCHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID 64956) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 64956) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60158260) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2023-08-25 |