Xzavier Fletcher

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Aston, PA

NPI 1114754157 · NPPES record last updated Sep 16, 2024

Key facts

NPI
1114754157
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1 Neumann Dr
Aston, PA 19014-1277
Phone
(610) 459-0905
NPI assigned
Sep 16, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X PA
Student in an Organized Health Care Education/Training Program 390200000X PA Yes

Addresses

Primary practice location

1 Neumann Dr
Aston, PA 19014-1277

Mailing address

38 Piercetown Rd
Bridgeton, NJ 08302-7203

Other providers in Aston, PA

All providers in Aston, PA · Student in an Organized Health Care Education/Training Program in Pennsylvania

Sources for this page

Verify at the official NPI Registry.