Individual
GREGORY A FLECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
901 SAINT MARYS DR STE 300, EVANSVILLE, IN 47714-0521
(812) 473-2642
Mailing address
901 SAINT MARYS DR STE 300, EVANSVILLE, IN 47714-0521
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
209018496
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
71005728A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201319220
—
IN
Enumeration date
08/25/2015
Last updated
06/21/2022
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