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Individual
TIMOTHY SCOTT FISHER JR.
Active
Individual
TIMOTHY SCOTT FISHER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
641588
PA
363LF0000X
Family Nurse Practitioner
Primary
SP019178
PA
Other
Enumeration date
07/02/2018
Last updated
11/13/2024
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