Provider Demographics
NPI:1801492988
Name:FLETCHER, MEYANI E
Entity type:Individual
Prefix:
First Name:MEYANI
Middle Name:E
Last Name:FLETCHER
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 1:959 CORDOVA AVE APT A
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-2605
Mailing Address - Country:US
Mailing Address - Phone:330-926-7352
Mailing Address - Fax:
Practice Address - Street 1:959 CORDOVA AVE APT A
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-2605
Practice Address - Country:US
Practice Address - Phone:330-926-7352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-05
Last Update Date:2020-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH402216011019374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide