Kathleen L Fisher RN, BC, ANP

NPI 1073501102 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1073501102
Gender Female
Enumeration Date 10/12/2005
Last Updated 05/13/2014
Entity Type Individual
Active Over 12 years ago
Practice Location
10012 KENNERLY RD
SUITE 204
SAINT LOUIS MO, 63128-2197, US
Phone (314) 525-1220
Fax (314) 842-9952
Business Location
10012 KENNERLY RD
SUITE 204
SAINT LOUIS MO, 63128-2197, US
Phone (314) 525-1220
Fax (314) 842-9952
Toxanomy
Taxonomy Code 363LA2200X
License State Missouri
License Number 086013
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According to our database, Kathleen L Fisher RN, BC, ANP NPI is 1073501102, taxonomy code is 363LA2200X and license number is 086013, license state is located at Missouri. Kathleen L Fisher RN, BC, ANP physically located at 10012 Kennerly Rd, Saint Louis MO, 63128-2197. NPI Number Kathleen L Fisher RN, BC, ANP has the Individual type.

1073501102 NPI number is provided on an as is basis without warranty of any kind. 1073501102 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen L Fisher RN, BC, ANP are for informational purposes only.