Provider Demographics
NPI:1740033414
Name:FLEMING, NEIL DOUGLAS (RN,BSN)
Entity type:Individual
Prefix:
First Name:NEIL
Middle Name:DOUGLAS
Last Name:FLEMING
Suffix:
Gender:M
Credentials:RN,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6450 EVERGREEN DR
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:OH
Mailing Address - Zip Code:44131-3413
Mailing Address - Country:US
Mailing Address - Phone:216-339-3445
Mailing Address - Fax:
Practice Address - Street 1:6450 EVERGREEN DR
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:OH
Practice Address - Zip Code:44131-3413
Practice Address - Country:US
Practice Address - Phone:216-339-3445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH412205163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse