Individual
MRS. RENEE ANTONETTE FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP FNP-BC
Contact information
Practice address
1401 PULASKI HWY STE W, EDGEWOOD, MD 21040-1398
(410) 671-6900
(410) 671-6901
Mailing address
1401 PULASKI HWY STE W, EDGEWOOD, MD 21040-1398
(104) 671-6900
(410) 671-6901
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R199709
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1840347P0001
—
MD
Enumeration date
11/27/2012
Last updated
06/29/2022
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