Individual
SUSANNA FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2502 ROUND TABLE RD APT G, MONROE, NC 28110-8429
(980) 200-0333
Mailing address
2502 ROUND TABLE RD APT G, MONROE, NC 28110-8429
(980) 200-0333
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1878403
NC BUSINESS REGISTRY
NC
01
—
468595
CNA
NC
Enumeration date
09/12/2019
Last updated
09/12/2019
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