Individual
MR. TROY EMERSON FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CFNP
Contact information
Practice address
1747 IMPERIAL BLVD, LAKE CHARLES, LA 70605-5362
(337) 721-7236
(337) 721-7237
Mailing address
501 DR MICHAEL DEBAKEY DR, LAKE CHARLES, LA 70601-5724
(337) 312-8258
(337) 312-6711
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP03989 RN075005
LA
363LF0000X
Family Nurse Practitioner
Primary
AP03989
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1129925
—
LA
Enumeration date
07/27/2006
Last updated
07/19/2023
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