Basic Information
| Provider Information | |||||||||
| NPI: | 1104564376 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FLEMING | ||||||||
| FirstName: | PRESLIE | ||||||||
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| Credential: | MSN, FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 622 SIMMS ASHUELOT RD | ||||||||
| Address2: | |||||||||
| City: | FORT SHAW | ||||||||
| State: | MT | ||||||||
| PostalCode: | 594439727 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4064590918 | ||||||||
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| Practice Location | |||||||||
| Address1: | 201 1ST AVE N | ||||||||
| Address2: | |||||||||
| City: | FAIRFIELD | ||||||||
| State: | MT | ||||||||
| PostalCode: | 594369245 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4064673447 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/26/2022 | ||||||||
| LastUpdateDate: | 05/26/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/26/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.