Doctor Name: | RICHARD FLETCHER |
NPI Number: | 1487680484 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ARNP |
License Number: | 1010017054 |
Business Practice Address: | 126 Main St Putney, VT - 053468701 |
Business Phone Number: | 8023875581 |
Business Fax Number: | 8023876694 |
Mailing Address: | Po Box 247, 126 Main St. PUTNEY |
State: | VT |
Postal Code: | 053460247 |
Phone Number: | 8023875581 |
Fax Number: | 8023876694 |
NPI Enumeration Date: | 06/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 1010017054 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |