Doctor Name: | MARLO FLETCHER |
NPI Number: | 1063833762 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | F0813254 |
Business Practice Address: | 1524 Sunset Blvd Suite D Steubenville, OH - 439521380 |
Business Phone Number: | 7402831100 |
Business Fax Number: | 7403148614 |
Mailing Address: | 380 Summit Ave, Mso Physician Billing STEUBENVILLE |
State: | OH |
Postal Code: | 439522667 |
Phone Number: | 7402831100 |
Fax Number: | 7403148614 |
NPI Enumeration Date: | 12/23/2013 |
NPI Last Update Date: | 04/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | F0813254 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |