Individual
JOANNE FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
717 MISSION RD, FORT HALL, ID 83203-0306
(208) 238-5435
(208) 238-5462
Mailing address
PO BOX 306, MISSION RD, FORT HALL, ID 83203-0306
(208) 238-5435
(208) 238-5462
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N-16721
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003399100
—
ID
Enumeration date
01/12/2009
Last updated
06/10/2009
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