Individual
TAMMY FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1841 N PERRY, PONTIAC, MI 48340
(248) 377-2673
Mailing address
38855 HILLS TECH DR, SUITE 200, FARMINGTON HILLS, MI 48331
(248) 871-1495
(248) 994-4655
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704213030
MI
163W00000X
Registered Nurse
L2394237
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704213030
MI
Other
Enumeration date
12/01/2014
Last updated
02/21/2020
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