Provider Demographics
NPI:1568420982
Name:FLETCHER, HOWARD K (RN-MSN-FNP-C)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:K
Last Name:FLETCHER
Suffix:
Gender:M
Credentials:RN-MSN-FNP-C
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Mailing Address - Street 1:4607 MACCORKLE AVENUE SW
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SOUTH CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25309-1311
Mailing Address - Country:US
Mailing Address - Phone:304-767-7780
Mailing Address - Fax:304-767-7788
Practice Address - Street 1:4607 MACCORKLE AVENUE SW
Practice Address - Street 2:SUITE 300
Practice Address - City:SOUTH CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25309-1311
Practice Address - Country:US
Practice Address - Phone:304-767-7780
Practice Address - Fax:304-767-7788
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2009-02-24
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Provider Licenses
StateLicense IDTaxonomies
WV51076363LF0000X, 207RI0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical & Laboratory Immunology
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily