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:
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Health care specialties

SpecialtyCodeLicense #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 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467418079 NPPES
Indiana MEDICAID 200273770A

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