Individual
DEBORAH D FLETTRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN/CRNA
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Mailing address
262 DANNY THOMAS PL, MS 515, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
73516
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
11657
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09631271
—
MS
05
—
1555738
—
LA
05
—
159246001
—
AR
05
—
200071170A
—
OK
05
—
200803610A
—
IN
05
—
5440665
—
TN
05
—
917570509
—
MO
Enumeration date
07/28/2006
Last updated
01/13/2025
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