Doctor Name: | DR. FLEM-FLAM AARON FLEMISTER |
NPI Number: | 1104292465 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CRNA, DNP |
License Number: | R893023 |
Business Practice Address: | 700 W Grove St El Dorado, AR - 717304416 |
Business Phone Number: | 8708632000 |
Business Fax Number: | |
Mailing Address: | Po Box 452035, SUNRISE |
State: | FL |
Postal Code: | 333452035 |
Phone Number: | 9548382371 |
Fax Number: | |
NPI Enumeration Date: | 08/20/2015 |
NPI Last Update Date: | 01/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0200X |
License Number: | R893023 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MS |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Critical Care Medicine |
Taxonomy Definition: |