Individual
MICHAELA JOAN FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 NICOLLET AVE, MINNEAPOLIS, MN 55403-3791
(612) 823-2947
Mailing address
4804 29TH AVE S, MINNEAPOLIS, MN 55417-1302
(612) 669-2477
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2285933
MN
363LF0000X
Family Nurse Practitioner
Primary
8349
MN
Other
Enumeration date
07/19/2021
Last updated
07/28/2021
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