Individual
BRANDI R. FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3101 SE 14TH STREET, BENTONVILLE, AR 72712-4900
(479) 986-6199
(479) 636-0371
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(314) 543-6979
(913) 647-4120
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R099622
AR
363L00000X
Nurse Practitioner
Primary
217410
AR
Other
Enumeration date
11/02/2015
Last updated
12/04/2023
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