Individual
JOANN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6320 VENTURE DR, SUITE 205, LAKEWOOD RANCH, FL 34202-5130
(941) 924-9955
(941) 924-5165
Mailing address
6320 VENTURE DR, SUITE 205, LAKEWOOD RANCH, FL 34202-5130
(941) 924-9955
(941) 924-5165
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
ARNP1072712
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303125000
—
FL
Enumeration date
04/18/2006
Last updated
04/23/2014
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