Individual
MICHAELLE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2550 NORTHWESTERN AVE, WEST LAFAYETTE, IN 47906-1332
(315) 439-8853
Mailing address
640 BOUGHTON WAY, WEST MELBOURNE, FL 32904-8720
(315) 439-8853
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11039068
FL
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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