Provider Demographics
NPI:1922167675
Name:FLETCHER, JULIA MANN (REGISTERED NURSE PRA)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:MANN
Last Name:FLETCHER
Suffix:
Gender:F
Credentials:REGISTERED NURSE PRA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5728 N ROWLAND AVE
Mailing Address - Street 2:
Mailing Address - City:TEMPLE CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91780-2616
Mailing Address - Country:US
Mailing Address - Phone:626-286-8377
Mailing Address - Fax:
Practice Address - Street 1:250 S GRAND AVE
Practice Address - Street 2:FOOTHILL PRESBYTERIAN HOSPITAL
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741
Practice Address - Country:US
Practice Address - Phone:626-857-3083
Practice Address - Fax:626-963-9461
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN164404 NPF8057363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner