Individual
NICOLE DANIELLE FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1394
(607) 547-3909
Mailing address
1 ATWELL RD, COOPERSTOWN, NY 13326-1394
(607) 547-3909
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
343252
NY
363LF0000X
Family Nurse Practitioner
343252
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
343252
NYS LICENSE
NY
Enumeration date
08/03/2018
Last updated
01/11/2021
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