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Individual
SAMANTHA FISHER
Active
Individual
SAMANTHA FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28181025-C
IN
163W00000X
Registered Nurse
4704428398
MI
363LF0000X
Family Nurse Practitioner
Primary
71016773A
IN
Other
Enumeration date
04/14/2025
Last updated
06/26/2025
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