Individual
PAMELA K. FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
68 CAVALIER BLVD, FLORENCE, KY 41042-1645
(513) 475-7630
(859) 781-8374
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5505
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1094815
KY
363L00000X
Nurse Practitioner
COA.07133-NP
OH
363LF0000X
Family Nurse Practitioner
Primary
3003296
KY
363LF0000X
Family Nurse Practitioner
COA07133NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2526716
—
OH
05
—
78013836
—
KY
01
—
POO188110
MEDICARE /RR /PIN
OH
Enumeration date
06/02/2006
Last updated
06/08/2017
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