# KATIE ANN FISHER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1477041150
- **Gender:** F
- **Credential:** DNP, CRNP, FNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | SP018499 | PA | Yes |
| 363LF0000X | Family Nurse Practitioner | SP018499 | PA | — |

## Other

- **Enumeration date:** 04/27/2018
- **Last updated:** 10/27/2020
