Provider Demographics
NPI:1114437720
Name:FLEMING, RACHELLE NAPI (FNP)
Entity Type:Individual
Prefix:MRS
First Name:RACHELLE
Middle Name:NAPI
Last Name:FLEMING
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MISS
Other - First Name:RACHELLE
Other - Middle Name:NAOMI
Other - Last Name:HASELEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1670 CARAVELLE DR
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-2730
Mailing Address - Country:US
Mailing Address - Phone:716-531-8035
Mailing Address - Fax:
Practice Address - Street 1:6937 WILLIAMS RD
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304-3022
Practice Address - Country:US
Practice Address - Phone:716-298-4454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-09
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF341966363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily