Provider Demographics
NPI:1740223981
Name:STRETCHER, DENISE MARIE (MD)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:MARIE
Last Name:STRETCHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1869
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-1869
Mailing Address - Country:US
Mailing Address - Phone:828-687-5698
Mailing Address - Fax:
Practice Address - Street 1:125 VANCE HILL DR
Practice Address - Street 2:
Practice Address - City:MILLS RIVER
Practice Address - State:NC
Practice Address - Zip Code:28759-4996
Practice Address - Country:US
Practice Address - Phone:828-891-7522
Practice Address - Fax:828-891-7523
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2012-01212207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNCE684COtherMEDICARE PTAN
NCNCE684DOtherMEDICARE PTAN
NCNCE684BOtherMEDICARE PTAN
NCNCE684AOtherMEDICARE PTAN