Provider Demographics
NPI:1316442403
Name:FLETCHER, CATHERINE LYNN (APRN FNP)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:LYNN
Last Name:FLETCHER
Suffix:
Gender:F
Credentials:APRN FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 CONTINENTAL DR
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506-1873
Mailing Address - Country:US
Mailing Address - Phone:847-751-3558
Mailing Address - Fax:
Practice Address - Street 1:SCL HEALTH LUNG AND SLEEP CLINIC
Practice Address - Street 2:1050 WELLINGTON AVE
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501
Practice Address - Country:US
Practice Address - Phone:970-298-5864
Practice Address - Fax:970-298-5889
Is Sole Proprietor?:No
Enumeration Date:2018-03-29
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041326944163WC0200X
IL209.017414363LF0000X
COAPN.0993787-NP363LF0000X
CORN.1650877163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No163W00000XNursing Service ProvidersRegistered Nurse