Provider Demographics
NPI:1073707121
Name:FLETCHER, MEGRETTE F (RD LD CDE)
Entity Type:Individual
Prefix:MS
First Name:MEGRETTE
Middle Name:F
Last Name:FLETCHER
Suffix:
Gender:F
Credentials:RD LD CDE
Other - Prefix:
Other - First Name:MEGRETTE
Other - Middle Name:F
Other - Last Name:HAMMOND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED RD CDE
Mailing Address - Street 1:789 CENTRAL AVENUE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-2526
Mailing Address - Country:US
Mailing Address - Phone:603-742-7222
Mailing Address - Fax:603-740-7441
Practice Address - Street 1:10 MEMBERS WAY
Practice Address - Street 2:SUITE 300
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-5933
Practice Address - Country:US
Practice Address - Phone:603-742-7222
Practice Address - Fax:603-740-7441
Is Sole Proprietor?:No
Enumeration Date:2007-08-31
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH803789133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHAA130972OtherHARVARD PILGRIM
NH4657745OtherCIGNA
NH1073707121OtherANTHEM
NH9653276OtherAETNA
NH4657745OtherCIGNA