Provider Demographics
NPI:1366217895
Name:FLETCHER, RACHELL D (RN)
Entity type:Individual
Prefix:
First Name:RACHELL
Middle Name:D
Last Name:FLETCHER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10532 FOXHORN CIR
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73130-7062
Mailing Address - Country:US
Mailing Address - Phone:405-571-2022
Mailing Address - Fax:
Practice Address - Street 1:10532 FOXHORN CIR
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73130-7062
Practice Address - Country:US
Practice Address - Phone:405-571-2022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-15
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator