Provider Demographics
NPI:1528497518
Name:FLETCHER, MICHELLE SARAH (APRN)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:SARAH
Last Name:FLETCHER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:SARAH
Other - Last Name:RUBIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:7575 DR PHILLIPS BLVD STE 10
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-7221
Mailing Address - Country:US
Mailing Address - Phone:407-377-5438
Mailing Address - Fax:407-386-6188
Practice Address - Street 1:7575 DR PHILLIPS BLVD STE 10
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819
Practice Address - Country:US
Practice Address - Phone:407-377-5438
Practice Address - Fax:407-386-6188
Is Sole Proprietor?:No
Enumeration Date:2013-11-11
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9298322363L00000X
FLARNP 9298322363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily