Provider Demographics
NPI:1699547547
Name:FLETCHER, DENEISE MARIE (RN)
Entity type:Individual
Prefix:
First Name:DENEISE
Middle Name:MARIE
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 1:11406 E FAIRVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-4687
Mailing Address - Country:US
Mailing Address - Phone:509-926-1031
Mailing Address - Fax:
Practice Address - Street 1:11406 E FAIRVIEW AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-4687
Practice Address - Country:US
Practice Address - Phone:509-926-1031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00148883163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse