Individual
AUDREY L. FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
487 LAKE AVE STE 2, SAINT JAMES, NY 11780-2277
(631) 584-6152
Mailing address
487 LAKE AVE STE 2, SAINT JAMES, NY 11780-2277
(631) 584-6152
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307001-1
NY
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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