Provider Demographics
NPI:1467509802
Name:FLETCHER, CHERYL ANN
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:ANN
Last Name:FLETCHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 E YORK ST
Mailing Address - Street 2:#4
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310
Mailing Address - Country:US
Mailing Address - Phone:330-374-1786
Mailing Address - Fax:
Practice Address - Street 1:1850 2ND STREET
Practice Address - Street 2:APT 303
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221
Practice Address - Country:US
Practice Address - Phone:330-923-3622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide