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Individual

MS. PEGGY SUE FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP, CRNA

Contact information

Practice address
830 PENNSYLVANIA AVE, SUITE 301, CHARLESTON, WV 25302-3302
(304) 346-4455
(304) 346-4457
Mailing address
830 PENNSYLVANIA AVE, SUITE 301, CHARLESTON, WV 25302-3302
(304) 346-4455
(304) 346-4457

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
33518
WV
367500000X
Certified Registered Nurse Anesthetist
33518
WV

Other

Enumeration date
01/25/2007
Last updated
02/06/2013
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