Individual
MANDY FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
650 S WAVERLY RD, HOLLAND, MI 49423-9121
(616) 312-2859
(616) 616-9931
Mailing address
6410 SAND CASTLE DR, HOLLAND, MI 49423-8539
(317) 517-6369
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704284073
MI
Other
Enumeration date
07/27/2026
Last updated
08/06/2026
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