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Individual

MS. TANYA MICHELLE FISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
205 BAYARD ROAD, UPPER DARBY, PA 19082
(610) 734-0168
Mailing address
205 BAYARD ROAD, UPPER DARBY, PA 19082
(610) 734-0168

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN 580261
PA

Other

Enumeration date
05/01/2007
Last updated
07/08/2007
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