Provider Demographics
NPI:1255563664
Name:FLETCHER, ABIGAIL (LM)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:FLETCHER
Suffix:
Gender:F
Credentials:LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2116 NE 8TH ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32609-3739
Mailing Address - Country:US
Mailing Address - Phone:352-682-2252
Mailing Address - Fax:
Practice Address - Street 1:810 E UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-5507
Practice Address - Country:US
Practice Address - Phone:352-372-4784
Practice Address - Fax:352-372-4788
Is Sole Proprietor?:No
Enumeration Date:2009-08-18
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW229176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife