Provider Type Icon

THEODORE RAE FLETCHER RN PHN ACRN NPI 1114688041


NPI Information

NPI: 1114688041
Provider Name: THEODORE RAE FLETCHER, RN, PHN, ACRN
Classification: Registered Nurse - 163WC0400X
Entity Type: Individual

Specialization: Case Management

Address:
1270 NATIVIDAD RD
SALINAS, CA
ZIP 93906
Phone: (831) 796-1236
Get Directions

Theodore Rae Fletcher, RN, PHN, ACRN is a case management registered nurse in Salinas, CA. Theodore Rae Fletcher, RN, PHN, ACRN NPI is 1114688041. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1270 NATIVIDAD RD
SALINAS, CA
ZIP 93906-144
Phone: (831) 796-1236

The enumeration date for this NPI number is 1/3/2022 and was last updated on 5/31/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WC0400XRegistered NurseCase ManagementRN95248292CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.