Individual
MISS MICHELLE PATRICE FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2700 W NORFOLK AVE, NORFOLK, NE 68701-4438
(402) 371-4880
(402) 844-8182
Mailing address
816 22ND AVE, SUITE 100, KEARNEY, NE 68845-2206
(308) 865-2263
(308) 865-2541
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1246
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47073897408
—
NE
Enumeration date
07/24/2006
Last updated
03/27/2019
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