Provider Demographics
NPI:1003543505
Name:PLETCHER, MARY A
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:A
Last Name:PLETCHER
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 1:11024 SAGEBRUSH AVE NE
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44685-8516
Mailing Address - Country:US
Mailing Address - Phone:330-310-7702
Mailing Address - Fax:
Practice Address - Street 1:11024 SAGEBRUSH AVE NE
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:OH
Practice Address - Zip Code:44685-8516
Practice Address - Country:US
Practice Address - Phone:330-310-7702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide