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Individual
JOYCE A FISHER
Active
Individual
JOYCE A FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001279A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000641076
ANTHEM
IN
05
—
200508820
—
IN
05
—
2435332
—
OH
01
—
500029256
RR MEDICARE
IN
01
—
P00823548
R.R. MEDICARE
IN
Enumeration date
08/15/2005
Last updated
10/15/2022
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