Individual
MRS. VANESSA RENE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1255 W RIO SALADO PKWY STE 107, TEMPE, AZ 85281-2892
(480) 962-0071
(480) 962-0590
Mailing address
1255 W RIO SALADO PKWY STE 107, TEMPE, AZ 85281-2892
(480) 962-0071
(480) 962-0590
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1674
TN
363AS0400X
Surgical Physician Assistant
Primary
1674
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4214994
BCBS
TN
01
—
4214995
BCBS
TN
Enumeration date
10/17/2008
Last updated
09/17/2021
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