Fletter, Marlise
Fletter, Marlise is an individual health care provider with primary practice located at 10620 Corporate Dr Ste A , Fort Wayne IN 46845-1711. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fletter, Marlise can be contacted via phone (260) 423-2567.Contact Information
Primary practice address
10620 Corporate Dr Ste A
Fort Wayne IN 46845-1711
Phone: (260) 423-2567
Fax: (260) 420-2415
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71000262A | Indiana |
Profile Details
NPI number | 1467418079 |
---|---|
LBN Legal business name | Fletter, Marlise |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 22nd, 2006 |
Last updated | Feb 19th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1467418079 | NPPES |
Indiana | MEDICAID | 200273770A |
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