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Individual

CHERYL FISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
6140 W CURTISIAN AVE, STE 200, BOISE, ID 83704
(208) 302-0000
(208) 302-0055
Mailing address
3340 E GOLDSTONE DR, MERIDIAN, ID 83642
(208) 302-0000
(208) 302-0055

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
807738
CA
363L00000X
Nurse Practitioner
Primary
60167
ID
363L00000X
Nurse Practitioner
95010116
CA
363LA2100X
Acute Care Nurse Practitioner
95010116
CA

Other

Enumeration date
12/16/2018
Last updated
06/21/2019
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