Individual
KRYSTAL DAWN FLETCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 S MAIN ST, LUTHER, OK 73054-9385
(405) 886-4186
(405) 445-7012
Mailing address
PO BOX 785, LUTHER, OK 73054-0785
(405) 886-4186
(405) 445-7012
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
99156
OK
363LF0000X
Family Nurse Practitioner
Primary
99156
OK
Other
Enumeration date
08/17/2017
Last updated
02/08/2021
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