Provider Demographics
NPI:1497885206
Name:FLETCHER, L. AUTUMN
Entity Type:Individual
Prefix:MRS
First Name:L. AUTUMN
Middle Name:
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 1:8911 E 650 N
Mailing Address - Street 2:
Mailing Address - City:WILKINSON
Mailing Address - State:IN
Mailing Address - Zip Code:46186-9758
Mailing Address - Country:US
Mailing Address - Phone:317-326-8424
Mailing Address - Fax:317-326-8424
Practice Address - Street 1:8911 E 650 N
Practice Address - Street 2:
Practice Address - City:WILKINSON
Practice Address - State:IN
Practice Address - Zip Code:46186-9758
Practice Address - Country:US
Practice Address - Phone:317-326-8424
Practice Address - Fax:317-326-8424
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist