Individual
AMY FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, CN
Contact information
Practice address
3337 COVINGTON ST, WEST LAFAYETTE, IN 47906-1187
(765) 414-0066
Mailing address
3337 COVINGTON ST, WEST LAFAYETTE, IN 47906-1187
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001773A
IN
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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