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Individual
NISSA FISHER
Active
Individual
NISSA FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP-C, CCRN
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
14-106534-101
KS
163WG0000X
General Practice Registered Nurse
2006030418
MO
363L00000X
Nurse Practitioner
Primary
53-76731-101
KS
363LF0000X
Family Nurse Practitioner
2015004538
MO
Other
Enumeration date
04/15/2015
Last updated
09/28/2020
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