Doctor Name: | PAMELA MORRIS FLECKENSTEIN |
NPI Number: | 1043265945 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, CRNP |
License Number: | RO71586 |
Business Practice Address: | 30668 Sussex Hwy Laurel, DE - 199564421 |
Business Phone Number: | 3028756550 |
Business Fax Number: | 3028753130 |
Mailing Address: | 30668 Sussex Hwy, LAUREL |
State: | DE |
Postal Code: | 199564421 |
Phone Number: | 3028756550 |
Fax Number: | 3028753130 |
NPI Enumeration Date: | 05/23/2006 |
NPI Last Update Date: | 04/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | RO71586 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |