Individual
MRS. NICOLE A FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
200 BANNING ST STE 200, DOVER, DE 19904-3487
(302) 674-0600
(302) 672-7144
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(302) 674-0600
(302) 672-7144
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C5-0000341
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000023182
—
DE
Enumeration date
11/02/2006
Last updated
11/11/2024
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