Individual
IRMINA FISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
325 N SAINT PAUL ST STE 3100, DALLAS, TX 75201-3923
(888) 279-0002
Mailing address
13310 LARSEN LN APT 203, OVERLAND PARK, KS 66213-3419
(619) 792-4281
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
95101694
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1162549
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
308031
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
406241
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
53-82733-041
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1162549
NP LICENSE
TX
01
—
308031
NP LICENSE
AZ
01
—
406241
NP LICENSE
NY
Enumeration date
11/17/2016
Last updated
04/25/2025
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