| Doctor Name: | MISTY FLETCHER |
| NPI Number: | 1053740613 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | P160217755 |
| Business Practice Address: | 2701 Clare Ave Bremerton, WA - 983103313 |
| Business Phone Number: | 3603773951 |
| Business Fax Number: | |
| Mailing Address: | 2701 Clare Ave, BREMERTON |
| State: | WA |
| Postal Code: | 983103313 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/04/2013 |
| NPI Last Update Date: | 11/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 283X00000X |
| License Number: | P160217755 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | Rehabilitation Hospital |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity. |